Organization
KAISER FOUNDATION HOSPITALS
Active
Other names
KAISER HOSPITAL MAIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JANEL AFANADOR (PHARMACIST IN CHARGE)
(408) 236-5592
Entity
Organization
Contact information
Practice address
900 KIELY BLVD, SANTA CLARA, CA 95051-5329
(408) 236-5435
(408) 236-4217
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY PROFESSIONAL AFFAIRS, DOWNEY, CA 90242-2804
(562) 658-3671
(562) 658-3712
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
HSP20154
CA
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0547349
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHB201540
—
CA
Enumeration date
01/08/2007
Last updated
05/05/2021
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