KAISER FOUNDATION HEALTH PLAN INC
1425 S Main St Fl 2
Walnut Creek, CA 94596
925-295-5965
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY39676 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0560448 | OTHER | |
PHB396760 | CA | MEDICAID |