KAISER FOUNDATION HEALTH PLAN INC
975 Sereno Dr
Vallejo, CA 94589
707-651-3442
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY37048 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0552718 | OTHER | |
PHA370480 | CA | MEDICAID |