Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP ANNEX PHY 354
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
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3208
(650) 742-2801
(650) 742-2840
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
HSP39109
CA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0566806
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHB391090
—
CA
Enumeration date
01/08/2007
Last updated
05/05/2021
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