# KAISER FOUNDATION HEALTH PLAN OF COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAISER FOUNDATION HEALTH PLAN OF COLORADO
- **Other names:** Kaiser Permanente Premier Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265034573
- **Legal business name:** KAISER FOUNDATION HEALTH PLAN OF COLORADO
- **Authorized official:** GUADALUPE FLORES (SR PROVIDER ENROLLMENT COORD)
- **Authorized official phone:** (303) 338-3382

## Contact information

- **Practice address:** 3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
- **Practice address phone:** (719) 755-6420
- **Practice address fax:** (719) 755-6417
- **Mailing address:** 3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
- **Mailing address phone:** (719) 755-6420
- **Mailing address fax:** (719) 755-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 05/23/2021