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Kaiser Foundation Health Plan Inc
Compounding Pharmacy in San Rafael, California
NPI 1861919540

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 San Rafael, CA. The NPI Number for Kaiser Foundation Health Plan Inc is 1861919540 and holds a License No. PHY55724 (California).

The current practice location address for Kaiser Foundation Health Plan Inc is 820 Las Gallinas Ave Fl 1, San Rafael, CA and can be reached out via phone at 415-446-2552.

Location: 820 Las Gallinas Ave Fl 1, San Rafael, CA, 94612-3466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861919540
Provider Name
Kaiser Foundation Health Plan Inc
Credential
Provider Entity Type
Organization
Address
820 Las Gallinas Ave Fl 1, San Rafael, CA, 94612-3466
Phone Number
415-446-2552
Fax Number
Provider Enumeration Date
08/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5664126 01 CA NCPDP
institution
Provider Business Practice Location Address Details
Address
820 Las Gallinas Ave Fl 1
City
San Rafael
State
California
Zip
94903-3410
Phone Number
415-446-2552
Fax Number
person
Provider Business Mailing Address Details
Address
820 Las Gallinas Ave Fl 1
City
San Rafael
State
California
Zip
94903-3410
Phone Number
415-446-2552
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHY55724 (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.
PHY55724 (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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