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Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #397
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
WILLIAM PERRY FLOWERS (VP ACUTE TRANSITIONAL CARE)
(562) 658-3510
Entity
Organization
Contact information
Practice address
99 MONTECILLO RD, BLDG 2 FL-5 RM 5254, SAN RAFAEL, CA 94903
(415) 444-2319
Mailing address
99 MONTECILLO RD, BLDG 2 FL-5 RM 5254, SAN RAFAEL, CA 94903-3308
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY52494
CA
3336C0004X
Compounding Pharmacy
Primary
PHY52494
CA
Other
Enumeration date
05/04/2015
Last updated
06/01/2018
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