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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