Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #931
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICE)
(510) 219-3954
Entity
Organization
Contact information
Practice address
2300 CAMINO RAMON FL 1, SAN RAMON, CA 94583-1354
(925) 244-7440
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(510) 625-2363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY51558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144662263
—
CA
01
—
2141777
PK
—
Enumeration date
07/18/2013
Last updated
09/29/2020
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