KAISER PERMANENTE NPI 1730380452

NPI Information

KAISER PERMANENTE is a managed care organization pharmacy pharmacy in Daly City, CA. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. KAISER PERMANENTE NPI is 1730380452. The provider is registered as an organization entity type.

The provider's business location address is:

395 HICKEY BLVD
1ST FLOOR PHARMACY
DALY CITY, CA
ZIP 94015-770
Phone: (650) 301-5700
Fax: (650) 301-5780

The provider's authorized official is Irene Phan .
The authorized official title is Pharmacy Manager and has the following contact phone number (650) 301-5781.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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