Kaiser Foundation Health Plan Inc in Fontana - Compounding Pharmacy
Kaiser Foundation Health Plan Inc - NPI 1962568238
Kaiser Foundation Health Plan Inc is a Compounding Pharmacy in Fontana, California. Kaiser Foundation Health Plan Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Kaiser Foundation Health Plan Inc is 1962568238. The last update date is 2023-06-13.
Kaiser Foundation Health Plan Inc's current location address is 9961 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094274941. The mailing address for Kaiser Foundation Health Plan Inc is 9961 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Foundation Health Plan Inc |
|---|---|
| Address | 9961 Sierra Ave, Fontana, California |
| Phone Number | 9094274941 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Polchak Lee Rhonda |
| Telephone Number | 5626583510 |
NPI Number Detail
| NPI Number | 1962568238 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2023-06-13 |
Provider Mailing Address Detail
| Address | 9961 Sierra Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356720 |
| Phone Number | 9094274941 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | PHY47314 |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5624754 | CA | NCPDP | |
| 2111836 | PK |
Post Comment/ Review Below
What is the unique identification code assigned to Kaiser Foundation Health Plan Inc by the Centers for Medicare & Medicaid Services?
The Kaiser Foundation Health Plan Inc has been issued the NPI (National Provider Identifier) 1962568238. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kaiser Foundation Health Plan Inc is physically located?
The Kaiser Foundation Health Plan Inc is situated at the following address: 9961 Sierra Ave, Fontana, CA 923356720.
What is Kaiser Foundation Health Plan Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kaiser Foundation Health Plan Inc's area of specialization is Compounding Pharmacy, and the corresponding taxonomy code that categorizes this field of practice is 3336C0004X.
On what date did the Centers for Medicare & Medicaid Services issue the 1962568238 to Kaiser Foundation Health Plan Inc?
The Kaiser Foundation Health Plan Inc received its 1962568238 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information related to Kaiser Foundation Health Plan Inc most recently updated or refreshed?
The details pertaining to the Kaiser Foundation Health Plan Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-06-13.
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