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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Managed Care Organization Pharmacy |
3336M0003X | 58 | Medical Supply Company with Pharmacist | |
Clinic Pharmacy |
3336C0002X | 58 | Medical Supply Company with Pharmacist |
| NPI # | 1013963131 |
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| LBN Legal business name | KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST | ||||||||||||||||
| Authorized official | STEPHEN BARTON - (EXECUTIVE DIRECTOR, REVENUE CYCLE) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 05/26/2006 | ||||||||||||||||
| Last updated | 06/23/2022 - About 4 years ago | ||||||||||||||||
| Identifiers |
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KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST