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Kaiser Foundation Health Plan Of The Northwest
Managed Care Organization Pharmacy in Longview, Washington
NPI 1790113371

Kaiser Foundation Health Plan Of The Northwest is a Managed Care Organization Pharmacy based in Portland, WA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of The Northwest practices in Longview, WA. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1790113371 and holds a License No. PHAR.CF.60362983 (Washington).

The current practice location address for Kaiser Foundation Health Plan Of The Northwest is 1230 7Th Ave., Longview, WA and can be reached out via phone at 866-279-8943 and via fax at 360-636-6271.

Location: 1230 7Th Ave., Longview, WA, 97230-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790113371
Provider Name
Kaiser Foundation Health Plan Of The Northwest
Credential
Provider Entity Type
Organization
Address
1230 7Th Ave., Longview, WA, 97230-3409
Phone Number
866-279-8943
Fax Number
360-636-6271
Provider Enumeration Date
10/17/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6019384 05 WA
PHAR.CF.60362983WA 01 WA BOP LICENSE
institution
Provider Business Practice Location Address Details
Address
1230 7Th Ave.
City
Longview
State
Washington
Zip
98682
Phone Number
866-279-8943
Fax Number
360-636-6271
person
Provider Business Mailing Address Details
Address
1230 7Th Ave.
City
Longview
State
Washington
Zip
98682
Phone Number
866-279-8943
Fax Number
360-636-6271
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
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Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHAR.CF.60362983 (Washington)
Definition
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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