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Organization
KAISER PERMANENTE FOUNDATION HEALTHPLAN OF COLORADO
Active
Organization
KAISER PERMANENTE FOUNDATION HEALTHPLAN OF COLORADO
Active
Other names
KAISER PERMANENTE LAKEWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENESE CLARK (REGIONAL ADMINISTRATOR)
(303) 326-6717
Entity
Organization
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7400
(303) 239-7405
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7400
(303) 239-7405
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336M0003X
Managed Care Organization Pharmacy
Primary
730000019
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001109
PK
—
Enumeration date
11/21/2006
Last updated
05/24/2021
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