# KAISER FOUNDATION HEALTH PLAN OF COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kaiser Permanente Briargate Senior Health Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942533914
- **Authorized official:** DENESE CLARK (REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (303) 326-6717

## Contact information

- **Practice address:** 4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920-3482
- **Practice address phone:** (719) 282-2466
- **Practice address fax:** (719) 282-2470
- **Mailing address:** 4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920-3482
- **Mailing address phone:** (719) 282-2466
- **Mailing address fax:** (719) 282-2470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336M0003X | Managed Care Organization Pharmacy | 776 | CO | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 11/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2121786 | PK | — |