KAISER FOUNDATION HEALTH PLAN INC
260 International Cir
San Jose, CA 95119
408-972-6349
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY22954 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0566488 | OTHER | |
PHA229540 | CA | MEDICAID |