KAISER FOUNDATION HEALTH PLAN INC
3700 Mall View Rd
Bakersfield, CA 93306
661-334-2922
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY36551 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA365510 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0503690 | OTHER |