Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #051
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(916) 764-2236
Entity
Organization
Contact information
Practice address
1021 RIVERSIDE AVE, ROSEVILLE, CA 95678
(916) 784-4540
Mailing address
1800 HARRISON STREET FL 13, NCAL PHARMACY OPERATIONS, OAKLAND, CA 94612
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588217236
—
CA
01
—
5670078
NCPDP
CA
Enumeration date
07/22/2019
Last updated
08/18/2020
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