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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist |
| NPI Number | 1629119359 |
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| LBN Legal business name | KAISER FOUNDATION HOSPITALS | ||||||||||||
| Authorized official | JEFFREY BERMEJO - (PHARMACIST IN CHARGE) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 02/08/2007 | ||||||||||||
| Last updated | 06/15/2021 - About 5 years ago | ||||||||||||
| Identifiers |
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KAISER FOUNDATION HOSPITALS
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KAISER FOUNDATION HOSPITALS