KAISER FOUNDATION HEALTH PLAN INC
7601 Stoneridge Dr Fl 1
Pleasanton, CA 94588
925-847-5353
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY36679 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0564989 | OTHER | |
PHB366790 | CA | MEDICAID |