KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. NPI 1740395631

NPI Information

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. is a managed care organization pharmacy pharmacy in Atlanta, 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 1740395631. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Refill Pharmacy.

The provider's business location address is:

4000 DEKALB TEC PKWY
STE 320
ATLANTA, GA
ZIP 30340-761
Phone: (770) 220-3787
Fax: (770) 220-3796

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

The enumeration date for this NPI number is 8/20/2006 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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