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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
About Stedi
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  • EDI platform