Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #642
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP, PHARMACY OPERATIONS & SERVICES)
(510) 625-2363
Entity
Organization
Contact information
Practice address
1931 MAIN ST FL 1 RM 1R150, WATSONVILLE, CA 95076
(831) 768-6700
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
05/19/2022
Last updated
05/19/2022
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