Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Compounding Pharmacy · Fontana, CA

NPI number 1366679557 Active

Practice location

9985 Sierra Ave Fl MOB24
Fontana, CA 92335-6720

Mailing address

12254 Bellflower Blvd Fl 2, Pharmacy Operations
Downey, CA 90242-2804

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Compounding Pharmacy Primary 3336C0004XPHY48689 (CA)

Compounding Pharmacy: 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 practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…

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About NPI 1366679557

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1366679557, issued on Jun 16, 2009. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Fontana, CA. The record was last updated on Jul 5, 2023.