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Organization
KAISER FOUNDATION HEALTHPLAN OF COLORADO
Active
Organization
KAISER FOUNDATION HEALTHPLAN OF COLORADO
Active
Other names
Kaiser Permanente Castle Rock Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENESE CLARK (REGIONAL ADMINISTRATOR)
(303) 326-6717
Entity
Organization
Contact information
Practice address
4318 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(303) 814-4160
(303) 814-4170
Mailing address
4318 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7512
(303) 814-4170
(303) 814-4170
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
827
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130720
PK
—
Enumeration date
06/21/2011
Last updated
08/15/2016
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