Kaiser Permanente Pharmacy No 672

LBN: Kaiser Foundation Health Plan Inc
Kaiser Permanente Pharmacy No 672 is an health care organization with primary practice located at 3700 Vaca Valley Pkwy Fl 2 , Vacaville CA 95688-9430. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Inc can be contacted via phone (707) 453-5202, or through Carver, Albert via phone (562) 658-3510.

Contact Information

Primary practice address
3700 Vaca Valley Pkwy Fl 2 Vacaville CA 95688-9430
Phone: (707) 453-5202
Fax: (707) 453-2959
Website:
Map and Directions
Authorized official contact:
Name: Carver, Albert
Phone: (562) 658-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46045 California
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1467500298
LBN Legal business name Kaiser Foundation Health Plan Inc
DBA Doing business as Kaiser Permanente Pharmacy No 672
Authorized official Carver, Albert
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated May 20th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467500298 NPPES
Other 0585729 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA460450 NCPDP PROVIDER IDENTIFICATION NUMBER

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