KAISER FOUNDATION HEALTH PLAN INC
770 E Calaveras Blvd
Milpitas, CA 95035
408-945-2645
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY30252 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA302520 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0528628 | OTHER |