Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER FRENCH OUTPATIENT PHY 322
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
4141 GEARY BLVD, SAN FRANCISCO, CA 94118-3109
(415) 202-3624
(415) 833-3645
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(415) 202-3624
(415) 833-3645
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41475
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0539190
NCPDP
CA
05
—
1225185549
—
CA
01
—
2066760
PK
—
Enumeration date
01/05/2007
Last updated
11/24/2020
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