| Organization Name: | KAISER FOUNDATION HEALTHPLAN OF COLORADO |
| NPI Number: | 1083900831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENESE CLARK (DIRECTOR, PHARMACY BENEFITS) |
| Mailing Address: | 4318 Trail Boss Dr Castle Rock |
| State: | CO US |
| Postal Code: | 801047512 |
| Phone Number: | 3038144160 |
| Fax Number: | 3038144170 |
| NPI Enumeration Date: | 06/21/2011 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336M0003X |
| License Number: | 827 |
| 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 |