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A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1306883301 |
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| LBN Legal business name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | ||||||||||||||||
| Authorized official | ALFRED LYMAN - (EXECUTIVE DIRECTOR, REGIONAL PHARMA) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/31/2006 | ||||||||||||||||
| Last updated | 06/01/2021 - About 5 years ago | ||||||||||||||||
| Identifiers |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST