KAISER FOUNDATION HEALTH PLAN INC
3801 Howe St Fl 1
Oakland, CA 94611
510-752-7641
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY39670 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA396700 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0529098 | OTHER |