Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP INP DISCHARGE PHY 72A 726
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-3305
(559) 448-3310
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP40608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0539215
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHB406080
—
CA
Enumeration date
01/08/2007
Last updated
04/22/2021
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