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Kaiser Permanente Internal
Managed Care Organization Pharmacy in Tucker, Georgia
NPI 1205872686

Kaiser Permanente Internal is a Managed Care Organization Pharmacy based in Tucker, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Permanente Internal practices in Tucker, GA. The NPI Number for Kaiser Permanente Internal is 1205872686 and holds a License No. (Georgia).

The current practice location address for Kaiser Permanente Internal is 200 Cres Ctr Pkwy, Tucker, GA and can be reached out via phone at 770-496-3623 and via fax at 770-496-3528.

Location: 200 Cres Ctr Pkwy, Tucker, GA, 30084-7047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205872686
Provider Name
Kaiser Permanente Internal
Credential
Provider Entity Type
Organization
Address
200 Cres Ctr Pkwy, Tucker, GA, 30084-7047
Phone Number
770-496-3623
Fax Number
770-496-3528
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1141023 01 OTHER ID NUMBER
1141023 01 OTHER ID NUMBER-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
200 Cres Ctr Pkwy
City
Tucker
State
Georgia
Zip
30084-7047
Phone Number
770-496-3623
Fax Number
770-496-3528
person
Provider Business Mailing Address Details
Address
200 Cres Ctr Pkwy
City
Tucker
State
Georgia
Zip
30084-7047
Phone Number
770-496-3623
Fax Number
770-496-3528
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
07798 (Georgia)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
()
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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