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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Lawrenceville, Georgia
NPI 1144546920

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Lawrenceville, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Lawrenceville, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1144546920 and holds a License No. PHRE009655 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 455 Philip Blvd Ste 130, Lawrenceville, GA and can be reached out via phone at 678-985-5040 and via fax at 678-985-5003.

Location: 455 Philip Blvd Ste 130, Lawrenceville, GA, 30046-8767
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144546920
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
455 Philip Blvd Ste 130, Lawrenceville, GA, 30046-8767
Phone Number
678-985-5040
Fax Number
678-985-5003
Provider Enumeration Date
04/19/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1159703 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
455 Philip Blvd Ste 130
City
Lawrenceville
State
Georgia
Zip
30046-8767
Phone Number
678-985-5040
Fax Number
678-985-5003
person
Provider Business Mailing Address Details
Address
455 Philip Blvd Ste 130
City
Lawrenceville
State
Georgia
Zip
30046-8767
Phone Number
678-985-5040
Fax Number
678-985-5003
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE009655 (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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