KAISER FOUNDATION HEALTH PLAN INC
99 Montecillo Rd
San Rafael, CA 94903
415-444-4337
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY38331 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0566490 | OTHER | |
PHA383310 | CA | MEDICAID |