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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Newnan, Georgia
NPI 1053612119

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Newnan, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Newnan, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1053612119 and holds a License No. PHRE009710 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 205 Newnan Crossing Byp, Newnan, GA and can be reached out via phone at 770-304-4410 and via fax at 770-304-4402.

Location: 205 Newnan Crossing Byp, Newnan, GA, 30265-1063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053612119
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
205 Newnan Crossing Byp, Newnan, GA, 30265-1063
Phone Number
770-304-4410
Fax Number
770-304-4402
Provider Enumeration Date
11/05/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1160554 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
205 Newnan Crossing Byp
City
Newnan
State
Georgia
Zip
30265-1063
Phone Number
770-304-4410
Fax Number
770-304-4402
person
Provider Business Mailing Address Details
Address
205 Newnan Crossing Byp
City
Newnan
State
Georgia
Zip
30265-1063
Phone Number
770-304-4410
Fax Number
770-304-4402
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE009710 (Georgia)
Definition
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.
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