Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #855
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP, PHARMACY OPERATIONS AND SERVICE)
(510) 219-3954
Entity
Organization
Contact information
Practice address
4531 DALE RD, FL 1 RM 1300, MODESTO, CA 95356
(209) 735-7206
Mailing address
4531 DALE ROD, FL 1 RM 1300, MODESTO, CA 95356
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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