KAISER FOUNDATION HEALTH PLAN INC
710 Lawrence Expy 4th Fl
Santa Clara, CA 95051
408-851-4695
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | CA | PHY47154 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 5624893 | OTHER |