Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Home Infusion Pharmacy #620
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS & SVCS NCAL)
(510) 625-2363
Entity
Organization
Contact information
Practice address
251 OPPORTUNITY ST, RM 115 119 120, SACRAMENTO, CA 95838
(916) 319-5010
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
11/16/2023
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