KAISER FOUNDATION HEALTH PLAN INC
1635 Divisadero St Fl 3
San Francisco, CA 94115
415-833-4507
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY35832 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0508993 | OTHER | |
PHA358320 | CA | MEDICAID |