Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #772
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP, PHARMACY OPERATIONS & SVCS NCAL)
(510) 625-6972
Entity
Organization
Contact information
Practice address
5615 SCOTTS VALLEY DRIVE, FL 1, RM 14R06, SCOTTS VALLEY, CA 95066
(831) 430-2900
(831) 430-2714
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
—
—
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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