Organization
KAISER FOUNDATION HEALTH PLAN INC
Active
Other names
Kaiser Permanente Pharmacy #910
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN RENOUARD BROWN (VP, PHARMACY OPERATIONS & SERVICES)
(510) 625-6972
Entity
Organization
Contact information
Practice address
2621 TENTH ST FL 2 RM 2505, BERKELEY, CA 94710
(510) 898-4283
Mailing address
1800 HARRISON ST FL 13, OAKLAND, CA 94612-3466
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5674494
NCPDP
—
Enumeration date
03/24/2021
Last updated
03/26/2021
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