KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. is a managed care organization pharmacy pharmacy in Marietta, 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 1063733210. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente West Marietta.
The provider's business location address is:
2505 DALLAS HWY SW
MARIETTA, GA
ZIP 30064-659
Phone: (770) 792-2010
Fax: (770) 792-2003
The provider's authorized official is Diane Sanders .
The authorized official title is Pharmacy Compliance Manager and has the following contact phone number (404) 949-5336.
The CLIA number assigned to this NPI record is 11D2150459 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/22/2010 and was last updated on 7/10/2015.