KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
1007 39th Ave Se
Puyallup, WA 98374
253-435-3150
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | WA | CF00005120 |
Y | 333600000X | Suppliers - Pharmacy | WA | CF00005120 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP | 4924913 | WA | OTHER |