Provider First Line Business Practice Location Address:
10800 MAGNOLIA AVE. INPATIENT PHARMACY
Provider Second Line Business Practice Location Address:
KAISER PERMANENTE
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92505-3043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-353-4956
Provider Business Practice Location Address Fax Number:
951-353-3044
Provider Enumeration Date:
11/16/2006