Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Dublin MOB Pharmacy #061
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(510) 625-2363
Entity
Organization
Contact information
Practice address
3100 DUBLIN BLVD FL 1, DUBLIN, CA 94568-4363
(925) 556-5885
Mailing address
1800 HARRISON STREET, FLOOR 13, OAKLAND, CA 94612
(510) 625-2363
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336607506
—
CA
01
—
5668883
NCPDP
CA
Enumeration date
03/06/2019
Last updated
08/19/2020
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