KAISER FOUNDATION HEALTH PLAN INC
1255 W Arrow Hwy
San Dimas, CA 91773
909-394-2521
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY37265 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0503436 | OTHER | |
PHA372650 | CA | MEDICAID |