Clinical pharmacy services at Kaiser Permanente's La Mesa administration campus on Parkway Drive include the practice of Scott Marie C, a Doctor of Pharmacy registered under NPI 1942386362. The pharmacist's scope covers medication therapy management, dosage optimization, and polypharmacy assessment for patients managing chronic musculoskeletal and pain conditions, a clinical workflow that parallels the medication-dependent treatment plans at chiropractic providers including La Mesa Spine Center. Kaiser's closed-formulary system requires Pharm.D.-level intervention at the point of therapeutic substitution, where the pharmacist evaluates bioequivalence data and patient-specific contraindications before authorizing generic or therapeutic alternatives. The 8010 Parkway Drive location houses Kaiser's durable medical equipment distribution and administrative functions alongside the clinical pharmacy consultation offices. Behavioral health medication management intersects with the pharmacist's oversight authority, coordinating psychotropic dosing adjustments for patients simultaneously treated by mental health providers like Psychology Associates Of La Mesa. Highest-tier services include real-time prospective drug utilization screening for high-risk medication categories including anticoagulants, immunosuppressants, and narrow therapeutic index drugs requiring serum-level monitoring and dose titration protocols.