KAISER FOUNDATION HEALTH PLAN INC
10800 Magnolia Ave Mob 2
Riverside, CA 92505
951-353-3623
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | CA | PHY48273 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5624778 | OTHER |