Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Permanente Pharmacy #351
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2250
(650) 742-2608
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY22256
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0542135
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
1063560845
—
CA
Enumeration date
01/08/2007
Last updated
04/20/2021
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