Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #401, Kaiser Permanente Pharmacy #401
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
ALAN KIYOHARA (VP PHARMACY OPERATIONS & SVCS, SCAL)
(562) 658-3510
Entity
Organization
Contact information
Practice address
5601 DE SOTO AVE, BLDG 5, FLOOR 4, RM 4891, WOODLAND HILLS, CA 91367-6701
(888) 515-3500
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50964
CA
3336C0004X
Compounding Pharmacy
Primary
PHY50964
CA
Other
Enumeration date
08/29/2012
Last updated
10/30/2020
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