KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC NPI 1427325067

NPI Information

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC is a managed care organization pharmacy pharmacy in Athens, GA. The provider is 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. KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC NPI is 1427325067. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Athens.

The provider's business location address is:

2142 W BROAD ST BLDG 200
ATHENS, GA
ZIP 30606-509
Phone: (706) 583-5001
Fax: (706) 583-5003

The provider's authorized official is Diane Sanders .
The authorized official title is Pharmacy Compliance Manager and has the following contact phone number (770) 712-5654.

The enumeration date for this NPI number is 11/28/2011 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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