KAISER FOUNDATION HEALTH PLAN INC
3400 Delta Fair Blvd
Antioch, CA 94509
925-779-5173
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY32380 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0528325 | OTHER | |
PHA323800 | CA | MEDICAID |