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Organization

KAISER FOUNDATION HEALTH PLAN INC

Active
Other names
KAISER PERMANENTE PHARMACY #261
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP PHARMACY OPERATIONS AND SERVICES)
(510) 625-2363
Entity
Organization

Contact information

Practice address
1900 DRESDEN DR, LINCOLN, CA 95648-8803
(916) 543-5145
(916) 543-5160
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47555
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5623839
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA475550
CA
Enumeration date
01/05/2007
Last updated
10/23/2020
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