Kaiser Found Hospital Phrmcy #529

LBN: Kaiser Foundation Hospitals
Kaiser Found Hospital Phrmcy #529 is an health care organization with primary practice located at 27300 Iris Ave , Moreno Valley CA 92555-4802. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Institutional Pharmacy is the primary health care specialty. Kaiser Foundation Hospitals can be contacted via phone (951) 243-2162, or through Polchak, Rhonda Lee via phone (562) 658-3510.

Contact Information

Primary practice address
27300 Iris Ave Moreno Valley CA 92555-4802
Phone: (951) 243-2162
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Polchak, Rhonda Lee
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Institutional Pharmacy 3336I0012X HSP49011 California

Profile Details

NPI number 1104070242
LBN Legal business name Kaiser Foundation Hospitals
DBA Doing business as Kaiser Found Hospital Phrmcy #529
Authorized official Polchak, Rhonda Lee
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2008
Last updated Jun 1st, 2023 - about last year

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 1104070242 NPPES
Other 5640479 NCPDP PROVIDER IDENTIFICATION NUMBER

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