# 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 Skyline Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1982779252
- **Legal business name:** KAISER FOUNDATION HEALTH PLAN OF COLORADO
- **Authorized official:** DENESE CLARK (REGIONAL ADMINISTRATOR)
- **Authorized official phone:** (303) 326-6717

## Contact information

- **Practice address:** 1375 E 20TH AVE, DENVER, CO 80205-5422
- **Practice address phone:** (303) 764-4669
- **Practice address fax:** (303) 764-4662
- **Mailing address:** 1375 E 20TH AVE, DENVER, CO 80205-5422
- **Mailing address phone:** (303) 764-4669
- **Mailing address fax:** (303) 764-4662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336M0003X | Managed Care Organization Pharmacy | 408 | CO | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 12/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2003222 | PK | — |