Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER FDN HSP NEW & REFILL PHY 141
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KVANCZ (VP NAT'L PHRMCY PROG & SVCS)
(562) 658-3510
Entity
Organization
Contact information
Practice address
27400 HESPERIAN BLVD, HAYWARD, CA 94545-4235
(510) 784-4461
(510) 784-2857
Mailing address
12254 BELLFLOWER BLVD, PHARMACY OPERATIONS, DOWNEY, CA 90242-2804
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
HSP18647
CA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2047988
PK
—
05
—
PHA186470
—
CA
Enumeration date
01/08/2007
Last updated
05/05/2021
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