Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #329
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
4131 GEARY BLVD, FL 1, SAN FRANCISCO, CA 94118-3101
(650) 301-5799
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(650) 301-5799
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHY54642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164080
PK
—
Enumeration date
09/09/2016
Last updated
10/22/2020
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