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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FOUNDATION CPP PHARMACY 251
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
300 PULLMAN ST, LIVERMORE, CA 94551-9756
(925) 294-7401
(562) 658-3866
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PHY42151
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2002064
PK
—
05
—
PHA421510
—
CA
Enumeration date
01/05/2007
Last updated
04/28/2021
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