KAISER FOUNDATION HEALTH PLAN INC
39400 Paseo Padre Pkwy
Fremont, CA 94538
510-248-3143
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY20597 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA205970 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0527525 | OTHER |