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Kaiser Foundation Health Plan Inc
Compounding Pharmacy in Modesto, California
NPI 1710044078

Kaiser Foundation Health Plan Inc is a Compounding Pharmacy based in Oakland, CA and is specialized in Compounding Pharmacy. Kaiser Foundation Health Plan Inc practices in Modesto, CA. The NPI Number for Kaiser Foundation Health Plan Inc is 1710044078 and holds a License No. PHY48261 (California).

The current practice location address for Kaiser Foundation Health Plan Inc is 4601 Dale Rd, Modesto, CA and can be reached out via phone at 209-735-3030 and via fax at 209-735-3032.

Location: 4601 Dale Rd, Modesto, CA, 94612-3466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710044078
Provider Name
Kaiser Foundation Health Plan Inc
Credential
Provider Entity Type
Organization
Address
4601 Dale Rd, Modesto, CA, 94612-3466
Phone Number
209-735-3030
Fax Number
209-735-3032
Provider Enumeration Date
01/03/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5624956 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
4601 Dale Rd
City
Modesto
State
California
Zip
95356-9718
Phone Number
209-735-3030
Fax Number
209-735-3032
person
Provider Business Mailing Address Details
Address
4601 Dale Rd
City
Modesto
State
California
Zip
95356-9718
Phone Number
209-735-3030
Fax Number
209-735-3032
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY48261 (California)
Definition
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.
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