License Directory

Kaiser Health Plan South 1 Phy 471

Active

California license 36679

License

Licensed by
California State Board of Pharmacy
License number
36679
Status
Active
First issued
September 17, 1990
Expired
November 1, 2026
Entity type
Organization

Classifications

More from the license record

License type code
PHY

Contact

7601 Stoneridge Dr Rm 132
Pleasanton, CA 94588
Alameda County