Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER HEALTH PLAN PEDIATRIC PHY
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LITTLE (PHARMACY SERVICE MGR)
(925) 372-1255
Entity
Organization
Contact information
Practice address
280 MUIR ROAD, MARTINEZ, CA 94553
(925) 372-1366
(925) 372-1368
Mailing address
280 MUIR ROAD, MARTINEZ, CA 94553
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
PHY37951
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0554128
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA379510
—
CA
Enumeration date
01/08/2007
Last updated
09/11/2025
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