Provider First Line Business Practice Location Address:
8080 PARKWAY DR
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE, PHARMACY
Provider Business Practice Location Address City Name:
LA MESA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91942-2104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-907-3393
Provider Business Practice Location Address Fax Number:
815-346-6626
Provider Enumeration Date:
03/17/2009