Kaiser Foundation Health Plan INC
Pharmacy, Community/Retail Pharmacy in Santa Rosa, CA. Organization (NPI-2).
NPI number1285782011
StatusActive
Last updated in NPPESNov 25, 2020
Details
- NPI
- 1285782011
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan INC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2007
- Certification date
- Nov 25, 2020
- Last updated
- Nov 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY46089 | CA | Yes |
Other names
- Kaiser Oncology Pharmacy #586 (Doing Business As)
Practice location
401 Bicentennial WaySanta Rosa, CA 95403-2149
Phone 707-571-3003 · Fax 707-571-3730
Mailing address
1800 Harrison St Fl 13Oakland, CA 94612-3466
Authorized official
Kathryn Renouard Brown
Vp Pharmacy Operations And Services
5106252363
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