Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Northwest

Clinic Pharmacy · Salem, OR

NPI number 1467491886 Active

Practice location

5125 Skyline Rd S
Salem, OR 97306-9427

Fax (503) 588-6579

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	RP0001106 (OR)
Managed Care Organization Pharmacy	3336M0003X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

125 other providers at this address

Other clinic pharmacy providers in Salem

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NPI record

NPI: 1467491886
Entity type: Organization (Type 2)
Issued: Jun 5, 2006
Last updated: Jun 1, 2021
Status: Active

Other names

<unavail>
Kaiser Permanente Skyline Pharmacy · doing business as
Kaiser Permanente Skyline Pharmacy · doing business as

Authorized official

Alfred Lyman, PharmD, BCPS
Executive Director, Regional Pharma
(800) 813-2000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467491886

Kaiser Foundation Health Plan of the Northwest's National Provider Identifier is 1467491886, issued on Jun 5, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Salem, OR. The record was last updated on Jun 1, 2021.