KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC. NPI 1144546920

NPI Information

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC. is a managed care organization pharmacy pharmacy in Lawrenceville, 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 1144546920. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Lawrenceville.

The provider's business location address is:

455 PHILIP BLVD STE 130
LAWRENCEVILLE, GA
ZIP 30046-767
Phone: (678) 985-5040
Fax: (678) 985-5003

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 4/19/2010 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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