Kaiser Foundation Health Plan Inc in Modesto - Compounding Pharmacy
Kaiser Foundation Health Plan Inc - NPI 1710044078
Kaiser Foundation Health Plan Inc is a Compounding Pharmacy in Modesto, California. Kaiser Foundation Health Plan Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Kaiser Foundation Health Plan Inc is 1710044078. The last update date is 2020-10-19.
Kaiser Foundation Health Plan Inc's current location address is 4601 Dale Rd, Modesto, California. You can contact this provider via phone number 2097353030 and fax number 2097353032. The mailing address for Kaiser Foundation Health Plan Inc is 4601 Dale Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Foundation Health Plan Inc |
|---|---|
| Address | 4601 Dale Rd, Modesto, California |
| Phone Number | 2097353030 |
| Fax Number | 2097353032 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP PHARMAC |
|---|---|
| Authorized Official Name | Brown Renouard Kathryn |
| Telephone Number | 5106252363 |
NPI Number Detail
| NPI Number | 1710044078 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2020-10-19 |
Provider Mailing Address Detail
| Address | 4601 Dale Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953569718 |
| Phone Number | 2097353030 |
| Fax Number | 2097353032 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
| Licence No | PHY48261 |
|
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 pract |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5624956 | NCPDP PROVIDER IDENTIFICATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kaiser Foundation Health Plan Inc by the Centers for Medicare & Medicaid Services?
The Kaiser Foundation Health Plan Inc has been issued the NPI (National Provider Identifier) 1710044078 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kaiser Foundation Health Plan Inc?
The Kaiser Foundation Health Plan Inc is physically situated at 4601 Dale Rd, in the city of Modesto, state of CA, with the postal code 953569718.
What is Kaiser Foundation Health Plan Inc's area of expertise and its corresponding taxonomy classification?
The Kaiser Foundation Health Plan Inc's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
On what date did Kaiser Foundation Health Plan Inc receive its 1710044078 assignment from the Centers for Medicare & Medicaid Services?
The Kaiser Foundation Health Plan Inc was assigned its 1710044078 on 2007-01-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kaiser Foundation Health Plan Inc most recently updated?
The details pertaining to the Kaiser Foundation Health Plan Inc, including its address, specialty, and other relevant information, were last refreshed on 2020-10-19.