KAISER FOUNDATION HEALTH PLAN INC
10725 International Dr Fl 2
Rancho Cordova, CA 95670
916-631-2309
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY37229 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0565246 | OTHER | |
PHB372290 | CA | MEDICAID |