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Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #100
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
(562) 658-3510
Entity
Organization
Contact information
Practice address
3801 HOWE ST, FL-3, OAKLAND, CA 94611-5312
(510) 752-6194
Mailing address
3801 HOWE ST, FL-3, OAKLAND, CA 94611-5312
(510) 752-6194
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PHY55268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165788
PK
—
Enumeration date
10/19/2016
Last updated
10/24/2016
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