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Organization

KAISER FOUNDATION HEALTH PLAN INC

Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #775
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
9550 ESCONDIDO AVE FL 1, RM 1100, HESPERIA, CA 92345-9120
(855) 873-7779
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
10/01/2020
Last updated
10/01/2020
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