Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP INP OUT PHY
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE MIGAKI (IP PHARMACY SUPERVISOR)
(408) 236-5113
Entity
Organization
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-5225
(408) 236-4234
Mailing address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP12037
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548997
OTHER ID NUMBER
—
05
—
PHB120370
—
CA
Enumeration date
01/18/2007
Last updated
04/22/2021
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