Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #941
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
1600 OWENS ST, 1ST FLOOR, SAN FRANCISCO, CA 94158-2261
(628) 242-6151
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
(628) 242-6151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY54273
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157661
PK
—
01
—
5658539
NCPDP
CA
Enumeration date
01/18/2016
Last updated
11/24/2020
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