Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
KAISER PERMANENTE ASPEN PHARMACY NO 376
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PERRY FLOWERS (VP ACUTE TRANSITIONAL CARE)
(562) 658-3671
Entity
Organization
Contact information
Practice address
670 MARSHALL CT, REDWOOD CITY, CA 94063
(650) 299-3642
(650) 299-3639
Mailing address
12254 BELLFLOWER BLVD FL 2, PHARMACY PROFESSIONAL AFFAIRS, DOWNEY, CA 90242-2804
(562) 658-3671
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY45215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0561565
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA452150
—
CA
Enumeration date
01/08/2007
Last updated
06/01/2018
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