Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
Kaiser Permanente Sunnyside Inpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED E. LYMAN JR. PHARMD, BCPS (EXEC DIRECTOR REGIONAL PHARMACY SVC)
(503) 261-7980
Entity
Organization
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-4256
(503) 571-4256
Mailing address
5725 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 571-4255
(503) 571-4256
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
00650
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3805960
NCPDP
OR
01
—
RP-0002480-CS
BOP LICENSE
OR
Enumeration date
07/14/2006
Last updated
04/23/2021
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