Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE PHRMCY #447
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
700 LAWRENCE EXPY, 1ST FLOOR, SANTA CLARA, CA 95051-5173
(408) 851-5504
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5627267
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA485990
—
CA
Enumeration date
06/22/2007
Last updated
11/27/2020
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