Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
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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