Kaiser Oncology Pharmacy #520

LBN: Kaiser Foundation Health Plan Inc
Kaiser Oncology Pharmacy #520 is an health care organization with primary practice located at 10800 Magnolia Ave Mob 2, Riverside CA 92505-3043. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (951) 353-3623, or through Polchak, Rhonda Lee via phone (562) 658-3510.

Contact Information

Primary practice address
10800 Magnolia Ave Mob 2 Riverside CA 92505-3043
Fax:
Website:
Authorized official contact:
Name: Polchak, Rhonda Lee

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PHY48273 California

Profile Details

NPI number 1871659144
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Oncology Pharmacy #520
Authorized official Polchak, Rhonda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2006
Last updated Jun 22nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871659144 NPPES
Other 5624778 NCPDP PROVIDER IDENTIFICATION NUMBER

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