KAISER FOUNDATION HEALTH PLAN INC
3900 Lakeville Hwy
Petaluma, CA 94954
707-765-3452
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY35387 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0564838 | OTHER | |
PHA353870 | CA | MEDICAID |