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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Found Hospital Phrmcy #28B/282
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
285 PALLADIO DR, FOLSOM, CA 95630-8741
(916) 986-4059
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(916) 986-4059
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP49202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5635303
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/10/2008
Last updated
04/28/2021
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