| Organization Name: | KAISER FOUNDATION HEALTH PLAN INC |
| NPI Number: | 1013064344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL RULE (OP PHARMACY MGR) |
| Mailing Address: | 1680 E Roseville Pkwy Roseville |
| State: | CA US |
| Postal Code: | 956613988 |
| Phone Number: | 9167463770 |
| Fax Number: | 9167463747 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | PHY40893 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |