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Organization

KAISER FOUNDATION HEALTH PLAN INC

Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Oncology Pharmacy #060
Organization subpart
Yes

Provider details

NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(510) 625-2363
Entity
Organization

Contact information

Practice address
3100 DUBLIN BLVD FL 2, RM 2615B, DUBLIN, CA 94568-4363
(925) 556-5870
Mailing address
1800 HARRISON STREET FL 13, OAKLAND, CA 94612-3466
(510) 625-2363

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0004X
Compounding Pharmacy
Primary
3336H0001X
Home Infusion Therapy Pharmacy

Other

Enumeration date
04/17/2019
Last updated
08/19/2020
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