Provider First Line Business Practice Location Address:
5601 DE SOTO AVE
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE 24 HOUR OUTPATIENT PHARMACY
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367-6701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-719-2913
Provider Business Practice Location Address Fax Number:
818-719-2127
Provider Enumeration Date:
02/09/2017