Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE PHRMCY #267
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PERRY FLOWERS (VP ACUTE TRANSITIONAL CARE)
(562) 658-3671
Entity
Organization
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661
(916) 474-6560
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY PROFESSIONAL AFFAIRS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY 49286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205073244
—
CA
01
—
5633347
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/13/2009
Last updated
06/01/2018
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