KAISER FOUNDATION HEALTH PLAN OF COLORADO NPI 1174698435

NPI Information

KAISER FOUNDATION HEALTH PLAN OF COLORADO is a managed care organization pharmacy pharmacy in Longmont, CO. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. KAISER FOUNDATION HEALTH PLAN OF COLORADO NPI is 1174698435. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Longmont Pharmacy.

The provider's business location address is:

2345 BENT WAY
LONGMONT, CO
ZIP 80503-614
Phone: (303) 678-3300
Fax: (303) 678-3302

The provider's authorized official is Denese Clark .
The authorized official title is Regional Administrator and has the following contact phone number (303) 326-6717.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 5/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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