Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PEDIATRIC PHARMACY #311
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PERRY FLOWERS (VP ACUTE TRANSITIONAL CARE)
(562) 658-3510
Entity
Organization
Contact information
Practice address
2200 OFARRELL ST, 1ST FLOOR, SAN FRANCISCO, CA 94115
(415) 833-4942
(415) 833-4648
Mailing address
2200 OFARRELL ST, 1ST FLOOR, SAN FRANCISCO, CA 94115-3357
(415) 833-4942
(415) 833-4648
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566250
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA448510
—
CA
Enumeration date
01/08/2007
Last updated
05/31/2018
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