| NPI | 1942357264 |
|---|---|
| Doing Business As | KAISER HEALTH PLAN MOB PHY 401 |
| Entity Type | Organization |
| Authorized Contact | KATHRYN RENOUARD BROWN VP Pharmacy Operations And Services 510-625-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY43294) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-10-22 |