| NPI | 1982779245 |
|---|---|
| Doing Business As | KAISER PERMANENTE HIDDEN LAKE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DENESE CLARK Regional Administrator 303-326-6717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: CO 1270000005) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2021-05-24 |