KAISER FOUNDATION HEALTH PLAN INC
5600 Stoneridge Mall Rd
Pleasanton, CA 94588
925-847-5645
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY37445 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0564903 | OTHER | |
PHA374450 | CA | MEDICAID |