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Organization
KAISER FOUNDATION HOSPITALS
Active
Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FOUNDATIONN HOSPITAL INP/OUT HOSPITAL PHARMACY 58A 58
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
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 571-4600
(707) 571-4701
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP36107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566654
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHB361070
—
CA
Enumeration date
01/08/2007
Last updated
05/05/2021
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