Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Oncology Pharmacy #680
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(510) 625-2363
Entity
Organization
Contact information
Practice address
7373 WEST LN FL 1, RM #1310, STOCKTON, CA 95210
(209) 476-5478
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5667475
NCPDP
CA
Enumeration date
11/08/2018
Last updated
09/30/2020
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