KAISER FOUNDATION HEALTH PLAN INC
1425 S Main St 2nd Fl
Walnut Creek, CA 94596
925-295-5438
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | CA | PHY46988 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5624920 | OTHER |