KAISER FOUNDATION HEALTH PLAN INC
3184 Arden Way
Sacramento, CA 95825
916-486-5269
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY39981 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0565501 | OTHER | |
PHA399810 | CA | MEDICAID |