Organization Name: | KAISER FOUNDATION HEALTHPLAN OF COLORADO |
NPI Number: | 1073814125 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENESE CLARK (SR. MGR PHARMACY BENEFITS) |
Mailing Address: | 2942 Evergreen Pkwy Evergreen |
State: | CO US |
Postal Code: | 804397909 |
Phone Number: | 7209423100 |
Fax Number: | 7209423110 |
NPI Enumeration Date: | 11/05/2010 |
NPI Last Update Date: | 11/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336M0003X |
License Number: | 809 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Managed Care Organization Pharmacy |
Taxonomy Definition: | A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO |