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Organization

KAISER FOUNDATION HOSPITALS

Active
Other names
KAISER FDN HSP INP/OUT DIS PHY 63A 634
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
250 HOSPITAL PKWY, SAN JOSE, CA 95119-1103
(408) 972-7245
(408) 972-7247
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466

Taxonomy

Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
HSP19317
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5624855
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHB193170
CA
Enumeration date
01/03/2007
Last updated
05/05/2021
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