Organization · Type 2 NPI

Kaiser Foundation Health Plan of Colorado

Managed Care Organization Pharmacy · Pueblo, CO

NPI number 1417846536 Active

Practice location

3107 Bonaventure Court
Pueblo, CO 81008

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314

Specialties and licenses

TaxonomyCodeLicense
Managed Care Organization Pharmacy Primary 3336M0003XNone 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.

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About NPI 1417846536

Kaiser Foundation Health Plan of Colorado's National Provider Identifier is 1417846536, issued on Jul 2, 2025. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Pueblo, CO. The record was last updated on Jul 2, 2025.