Organization
KAISER FOUNDATION HEALTH PLAN OF COLORADO
Active
Other names
Kaiser Permanente Briargate Senior Health Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DENESE CLARK (REGIONAL ADMINISTRATOR)
(303) 326-6717
Entity
Organization
Contact information
Practice address
4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920-3482
(719) 282-2466
(719) 282-2470
Mailing address
4105 BRIARGATE PKWY STE 125, COLORADO SPRINGS, CO 80920-3482
(719) 282-2466
(719) 282-2470
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
776
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121786
PK
—
Enumeration date
09/09/2009
Last updated
11/24/2025
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