KAISER FOUNDATION HEALTH PLAN INC
39400 Paseo Padre Pkwy
Fremont, CA 94538
510-248-3792
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY39674 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0527587 | OTHER | |
PHA396740 | CA | MEDICAID |