Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER PERMANENTE PHARMACY #358
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) 742-3251
(650) 742-2008
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46813
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5602152
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA468130
—
CA
Enumeration date
01/08/2007
Last updated
05/05/2021
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