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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP INP OUT PHY
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE MIGAKI (IP PHARMACY SUPERVISOR)
(408) 236-5113
Entity
Organization
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-5225
(408) 236-4234
Mailing address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP12037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548997
OTHER ID NUMBER
—
05
—
PHB120370
—
CA
Enumeration date
01/18/2007
Last updated
04/22/2021
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