National Provider Identifier Database

KAISER FOUNDATION HEALTH PLAN INC
Compounding Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner?s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.


Contact Information

KAISER FOUNDATION HEALTH PLAN INC
7373 WEST LN FL 1
RM #1310
STOCKTON, CA95210
Phone: 209-476-5478
Fax:
Website:
Specialty Taxonomy Code
* Compounding Pharmacy 3336C0004X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN INC

NPI Number 1225506199
Legal business name
LBN
KAISER FOUNDATION HEALTH PLAN INC
Authorized official KATHRYN BROWN - (VP PHARMACY OPERATIONS & SVCS, NCAL)
Entity Organization
Organization subpart No
Enumeration date 11/08/2018
Last updated 09/30/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Other: 5667475 NCPDP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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