Provider First Line Business Practice Location Address:
441 NORTH LAKEVIEW AVE.
Provider Second Line Business Practice Location Address:
KAISER PERMANANTE MEDICAL CENTER IN-PT PHARMACY
Provider Business Practice Location Address City Name:
ANAHEIM
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-279-4381
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2006