Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER ONCOLOGY PHRMCY #638
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
270 INTERNATIONAL CIR FL 1, SAN JOSE, CA 95119-1130
(408) 972-3539
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(408) 972-3539
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY49252
CA
3336C0004X
Compounding Pharmacy
Primary
PHY49252
CA
Other
Enumeration date
06/16/2009
Last updated
11/27/2020
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