Provider First Line Business Practice Location Address:
KAISER PERMANANTE PHARMACY
Provider Second Line Business Practice Location Address:
1505 N. EDGEMONT ST. 1ST FLOOR
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90027
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-783-4148
Provider Business Practice Location Address Fax Number:
323-783-5694
Provider Enumeration Date:
10/25/2006