Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SAYLES (SUPERVISOR)
(661) 631-3010
Entity
Organization
Contact information
Practice address
3733 SAN DIMAS ST STE 105, BAKERSFIELD, CA 93301-1407
(661) 631-3010
(661) 631-3011
Mailing address
3733 SAN DIMAS ST STE 105, BAKERSFIELD, CA 93301-1407
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY41007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5616074
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/08/2007
Last updated
08/22/2020
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