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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SO (PHARMACIST)
(510) 307-2445
Entity
Organization
Contact information
Practice address
901 NEVIN AVE, RICHMOND, CA 94801-3143
(510) 307-2445
Mailing address
724 CARLOTTA CT, SAN JOSE, CA 95136-1920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55638
CA
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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