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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Compounding Pharmacy |
3336C0004X | 58 | Medical Supply Company with Pharmacist | |
Pharmacy |
333600000X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1568343309 |
| LBN Legal business name | KAISER FOUNDATION HEALTH PLAN INC |
| Authorized official | KATHRYN BROWN - (VP, PHARMACY OPERATIONS AND SERVICE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/09/2025 |
| Last updated | 09/09/2025 - About 9 months ago |
| Identifiers | n/a |
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