Organization · Type 2 NPI

Kaiser Foundation Health Plan Inc

Compounding Pharmacy · San Leandro, CA

NPI number 1609289024 Active

Practice location

2500 Merced St, 2nd Fl Rm 2966
San Leandro, CA 94577-4201

Call (510) 454-2747 Map

Mailing address

1800 Harrison St Fl 13
Oakland, CA 94612-3466

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Compounding Pharmacy Primary 3336C0004XPHY51911 (CA)

Compounding Pharmacy: 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 compoun…

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About NPI 1609289024

Kaiser Foundation Health Plan Inc's National Provider Identifier is 1609289024, issued on Jun 3, 2014. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in San Leandro, CA. The record was last updated on Oct 21, 2020.