Organization · Type 2 NPI
Kaiser Foundation Health Plan Inc
Compounding Pharmacy · Antioch, CA
Practice location
4501 Sand Creek Rd Fl 4
Antioch, CA 94531-8687
Mailing address
1800 Harrison St Fl 13
Oakland, CA 94612-3466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | PHY48612 (CA) |
| Compounding Pharmacy Primary | 3336C0004X | PHY48612 (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…
Another provider at this address
About NPI 1720215916
Kaiser Foundation Health Plan Inc's National Provider Identifier is 1720215916, issued on Jun 16, 2009. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Antioch, CA. The record was last updated on Oct 20, 2020.