KAISER FOUNDATION HEALTH PLAN INC
801 Traeger Ave
San Bruno, CA 94066
650-742-2388
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY38292 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PHA382920 | CA | MEDICAID | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 0566022 | OTHER |