Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #961
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPS & SVCS, NCAL)
(510) 625-6972
Entity
Organization
Contact information
Practice address
1650 LOS GAMOS DR, FL 2 RM 2600, SAN RAFAEL, CA 94903
(415) 492-6297
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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