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Organization

KAISER FOUNDATION HOSPITALS

Active
Other names
KAISER HOSPITAL MAIN PHARMACY 391
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
99 MONTECILLO RD, SAN RAFAEL, CA 94903-3308
(415) 444-2044
(415) 444-2476
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY18749
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2111841
PK
01
5624805
NCPDP
CA
05
PHB187490
CA
Enumeration date
01/03/2007
Last updated
05/05/2021
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