KAISER FOUNDATION HEALTH PLAN INC
6600 Bruceville Rd
Sacramento, CA 95823
916-688-2857
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY36725 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHB367250 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0565486 | OTHER |