Organization · Type 2 NPI
Kaiser Foundation Health Plan Inc
Managed Care Organization Pharmacy · Waipahu, HI
NPI number
1114068574
Active
Practice location
94 1480 Moaniani St
Waipahu, HI 96797
Fax (808) 432-3155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic Pharmacy | 3336C0002X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | PHY-655 (HI) |
Managed Care Organization Pharmacy: 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.
About NPI 1114068574
Kaiser Foundation Health Plan Inc's National Provider Identifier is 1114068574, issued on Feb 9, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Waipahu, HI. The record was last updated on Feb 28, 2017.