Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RULE (OP PHARMACY MGR)
(916) 746-6741
Entity
Organization
Contact information
Practice address
1680 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3988
(916) 746-3770
(916) 746-3747
Mailing address
1680 E ROSEVILLE PKWY, ROSEVILLE, CA 95661-3988
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
PHY40893
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0565397
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA408930
—
CA
Enumeration date
01/05/2007
Last updated
09/11/2025
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