Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #588
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(510) 625-2363
Entity
Organization
Contact information
Practice address
401 BICENTENNIAL WAY, HOSP BLDG FL-1, SANTA ROSA, CA 95403-2149
(707) 393-3678
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(707) 393-3678
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160053
PK
—
01
—
5659911
NCPDP
CA
Enumeration date
05/04/2016
Last updated
11/25/2020
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