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Kaiser Permanente Health Plan of Colorado — NPI 1609100957, Pueblo, CO | NPI Central

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NPI 1609100957

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Kaiser Permanente Health Plan of Colorado

NPI 1609100957 · Managed Care Organization Pharmacy · Pueblo, CO

Provider details

NPI number: 1609100957
Entity type: Organization
Primary specialty: Managed Care Organization PharmacySuppliers
Organization subpart: No
Authorized official: Denese Clark, Regional Administrator(303) 326-6717
License: 779 (CO)

Specialties & taxonomies

Managed Care Organization PharmacyPrimary3336M0003XLicense 779 (CO)
Suppliers

Practice location

3670 Parker Blvd

Pueblo, CO 81008-2285

Phone: (719) 595-5367

Fax: (719) 595-5370

Approximate (ZIP-level) locationGet directions

More CO providers

Mailing address

3670 Parker Blvd

Pueblo, CO 81008-2285

Other names (DBA / former)

Doing business as: Kaiser Permanente Pueblo North Pharmacy
Doing business as: Kaiser Permanente Pueblo North Pharmacy

Registry dates

Enumerated: 2009-09-18
Last updated: 2021-05-24
Certified: 2021-05-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.