Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #607
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
6600 BRUCEVILLE RD, BLDG 2, FL 1, RM M2041, SACRAMENTO, CA 95823-4671
(916) 688-2086
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(916) 688-2086
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY51709
CA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY51709
CA
Other
Enumeration date
12/11/2013
Last updated
11/24/2020
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