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Kaiser Foundation Health Plan Inc
Compounding Pharmacy in Fontana, California
NPI 1366679557

Kaiser Foundation Health Plan Inc is a Compounding Pharmacy based in Downey, CA and is specialized in Compounding Pharmacy. Kaiser Foundation Health Plan Inc practices in Fontana, CA. The NPI Number for Kaiser Foundation Health Plan Inc is 1366679557 and holds a License No. (California).

The current practice location address for Kaiser Foundation Health Plan Inc is 9985 Sierra Ave Fl Mob24, Fontana, CA and can be reached out via phone at 909-427-3444.

Location: 9985 Sierra Ave Fl Mob24, Fontana, CA, 90242-2804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366679557
Provider Name
Kaiser Foundation Health Plan Inc
Credential
Provider Entity Type
Organization
Address
9985 Sierra Ave Fl Mob24, Fontana, CA, 90242-2804
Phone Number
909-427-3444
Fax Number
Provider Enumeration Date
06/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5641142 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
9985 Sierra Ave Fl Mob24
City
Fontana
State
California
Zip
92335-6720
Phone Number
909-427-3444
Fax Number
person
Provider Business Mailing Address Details
Address
9985 Sierra Ave Fl Mob24
City
Fontana
State
California
Zip
92335-6720
Phone Number
909-427-3444
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY48689 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
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