Whalio Doctors

NPI 1003329483

Kaiser Foundation Health Plan INC

Organisation Compounding Pharmacy Ventura, CA

Practice location

Address
4949 Market St Fl 3, Ventura, CA 93003
Phone
(888) 515-3500
Mailing address
12254 Bellflower Blvd Fl 2 Pharmacy Operations, Downey, CA 90242-2804

Authorised official

Name
Rhonda Lee Polchak
Title
Vp Pharmacy Operations & Svcs, Scal
Phone
(562) 658-3510

Registered specialties (2)

Compounding Pharmacy Primary
Suppliers Taxonomy 3336C0004X
Pharmacy
Suppliers Taxonomy 333600000X Licence PHY55922 (CA)

Registry record

NPI
1003329483
Entity type
Organization
NPI issued
8 Nov 2017
Record last updated
4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.