KAISER FOUNDATION HEALTH PLAN INC
4785 N 1st St
Fresno, CA 93726
559-448-4812
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY32897 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA328970 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0527828 | OTHER |