KAISER FOUNDATION HEALTH PLAN INC
3801 Howe St Fl 3
Oakland, CA 94611
510-752-7643
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY39671 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA396710 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0529113 | OTHER |