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Kaiser Foundation Health Plan Inc
Compounding Pharmacy in Antioch, California
NPI 1720215916

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 Antioch, CA. The NPI Number for Kaiser Foundation Health Plan Inc is 1720215916 and holds a License No. PHY48612 (California).

The current practice location address for Kaiser Foundation Health Plan Inc is 4501 Sand Creek Rd Fl 4, Antioch, CA and can be reached out via phone at 925-813-3958.

Location: 4501 Sand Creek Rd Fl 4, Antioch, CA, 94612-3466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720215916
Provider Name
Kaiser Foundation Health Plan Inc
Credential
Provider Entity Type
Organization
Address
4501 Sand Creek Rd Fl 4, Antioch, CA, 94612-3466
Phone Number
925-813-3958
Fax Number
Provider Enumeration Date
06/16/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4501 Sand Creek Rd Fl 4
City
Antioch
State
California
Zip
94531-8687
Phone Number
925-813-3958
Fax Number
person
Provider Business Mailing Address Details
Address
4501 Sand Creek Rd Fl 4
City
Antioch
State
California
Zip
94531-8687
Phone Number
925-813-3958
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY48612 (California)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
PHY48612 (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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