KAISER FOUNDATION HEALTH PLAN INC
555 Castro St
Mountain View, CA 94041
650-903-2159
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY37056 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA370560 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0528907 | OTHER |