Kaiser Health Plan Mob 1 Phy 684 is not a DME supplier for medicare equipments and products.
Kaiser Health Plan Mob 1 Phy 684 is a Community/Retail Pharmacy in Stockton, California. This pharmacy is owned and operated by Kaiser Foundation Health Plan Inc. It is located at 7373 West Ln Fl 1, Stockton and it's customer support contact number is 209-476-3242. The authorized person of Kaiser Health Plan Mob 1 Phy 684 is Kathryn Renouard Brown who is Vp Pharmacy Operations And Services of the pharmacy and his contact number is 510-625-2363. Active license number of Kaiser Health Plan Mob 1 Phy 684 is PHY37509 for Community/Retail Pharmacy in California. Kaiser Health Plan Mob 1 Phy 684 is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Kaiser Health Plan Mob 1 Phy 684 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Kaiser Health Plan Mob 1 Phy 684
Type:
Community/Retail Pharmacy
Location:
7373 West Ln Fl 1, Stockton, California, 95210-3377
Phone:
209-476-3242
Fax:
209-476-3202
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Kathryn Renouard Brown
Position:
Vp Pharmacy Operations And Services
Contact Number:
510-625-2363
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1265580864
NPI Enumeration Date:
08 Jan, 2007
NPI Last Update On:
19 Oct, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaiser Health Plan Mob 1 Phy 684 are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
PHY37509
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
PHA375090
Medicaid
California
0556451
Other
Ncpdp Provider Identification Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1800 Harrison St Fl 13, Oakland, California
Zip:
94612-3466
Phone Number:
--
Fax Number:
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Patients can reach Kaiser Health Plan Mob 1 Phy 684 at 7373 West Ln Fl 1, Stockton, California or can call on customer care at 209-476-3242.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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