Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN INC
Other names
Kaiser Permanente Pharmacy #398
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN INC
Authorized official
KATHRYN BROWN (VP PHARMACY OPERATIONS & SVCS, NCAL)
(510) 625-2363
Entity
Organization
Contact information
Practice address
820 LAS GALLINAS AVE FL 1, SAN RAFAEL, CA 94903-3410
(415) 446-2552
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY55724
CA
3336C0004X
Compounding Pharmacy
Primary
PHY55724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5664126
NCPDP
CA
Enumeration date
08/24/2017
Last updated
11/24/2020
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