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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP INP DISCHARGE PHY 37A 374
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
(562) 658-3510
Entity
Organization
Contact information
Practice address
1150 VETERANS BLVD, REDWOOD CITY, CA 94063-2037
(650) 299-2234
(650) 299-2627
Mailing address
12254 BELLFLOWER BLVD FL 2, ATTN: TERESA RIVERA, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP34279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999937
PK
—
05
—
PHB342790
—
CA
Enumeration date
01/08/2007
Last updated
04/22/2021
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