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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP INP DISCHARGE PHY 39A 394
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2047
(415) 444-2077
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP39139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0561919
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHB187490
—
CA
Enumeration date
01/08/2007
Last updated
04/23/2021
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