# KAISER FOUNDATION HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KAISER FOUND HOSPITAL PHY \#58B
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053548230
- **Authorized official:** KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
- **Authorized official phone:** (510) 625-2363

## Contact information

- **Practice address:** 3975 OLD REDWOOD HWY FL 2, SANTA ROSA, CA 95403-1719
- **Practice address phone:** (707) 566-5900
- **Mailing address:** 1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
- **Mailing address phone:** (707) 566-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | HSP48856 | CA | — |
| 3336I0012X | Institutional Pharmacy | HSP48856 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 04/20/2021