KAISER FOUNDATION HEALTH PLAN INC
7373 West Ln Fl 2
Stockton, CA 95210
209-476-3105
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY37510 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0554774 | OTHER | |
PHA375100 | CA | MEDICAID |