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
—
—
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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