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Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Organization
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Active
Other names
KAISER PERMANENTE ORCHARDS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED LYMAN PHARMD, BCPS (EXECUTIVE DIRECTOR, REGIONAL PHARMA)
(800) 813-2000
Entity
Organization
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(360) 944-2700
(360) 944-2731
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7980
(503) 261-7567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
Primary
CF58873
WA
3336C0003X
Community/Retail Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2109026
PK
—
Enumeration date
12/18/2006
Last updated
06/01/2021
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