Organization
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
Active
Parent organization
GROUP HEALTH COOPERATIVE
Other names
CSP Long Term Care Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROUP HEALTH COOPERATIVE
Authorized official
KATHY BEERY (DIRECTOR)
(206) 630-1818
Entity
Organization
Contact information
Practice address
2921 NACHES AVE SW, RENTON, WA 98057-2617
(206) 630-7900
(206) 630-1025
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
CF00002027
WA
3336C0002X
Clinic Pharmacy
CF00002027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4915685
NCPDP
WA
Enumeration date
03/15/2007
Last updated
06/17/2021
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