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Kaiser Permanente

Pharmacy, Managed Care Organization Pharmacy in Daly City, CA. Organization (NPI-2).

NPI number1730380452
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1730380452
Entity type
Organization (NPI-2)
Legal business name
Kaiser Permanente
Organization subpart
No
Enumeration date
May 30, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336M0003X Pharmacy, Managed Care Organization Pharmacypha46565CAYes

Practice location

395 Hickey Blvd
1st Floor Pharmacy
Daly City, CA 94015-2770

Phone 650-301-5700 · Fax 650-301-5780

Mailing address

395 Hickey Blvd
1st Floor Pharmacy
Daly City, CA 94015-2770

Phone 650-301-5700 · Fax 650-301-5780

Authorized official

Irene Phan
Pharmacy Manager
6503015781

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