Organization · Type 2 NPI

Kaiser Foundation Health Plan of Colorado

Managed Care Organization Pharmacy · Colorado Springs, CO

NPI number 1265034573 Active

Practice location

3920 N Union Blvd
Colorado Springs, CO 80907-4900

Fax (719) 755-6417

Specialties and licenses

Taxonomy	Code	License
Managed Care Organization Pharmacy Primary	3336M0003X	None listed

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.

57 other providers at this address

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NPI record

NPI: 1265034573
Entity type: Organization (Type 2)
Issued: Nov 11, 2020
Last updated: May 23, 2021
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of Colorado

Other names

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Kaiser Permanente Premier Pharmacy · doing business as
Kaiser Permanente Premier Pharmacy · doing business as

Authorized official

Guadalupe Flores
SR Provider Enrollment Coord
(303) 338-3382

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About NPI 1265034573

Kaiser Foundation Health Plan of Colorado's National Provider Identifier is 1265034573, issued on Nov 11, 2020. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Colorado Springs, CO. The record was last updated on May 23, 2021.