Organization
KAISER FOUNDATION HOSPITALS
Active
Parent organization
KAISER FOUNDATION HOSPITALS
Other names
Kaiser Foundation Hospital Pharmacy #63C
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HOSPITALS
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
274 INTERNATIONAL CIR FL 1 RM 104, SAN JOSE, CA 95119
(408) 972-4583
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5672402
NCPDP
CA
Enumeration date
04/23/2020
Last updated
05/05/2021
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