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Kaiser Foundation Health Plan Of Georgia Inc
Managed Care Organization Pharmacy in Kennesaw, Georgia
NPI 1265707244

Kaiser Foundation Health Plan Of Georgia Inc is a Managed Care Organization Pharmacy based in Kennesaw, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia Inc practices in Kennesaw, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia Inc is 1265707244 and holds a License No. PHCL000018 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia Inc is 750 Townpark Ln Nw, Kennesaw, GA and can be reached out via phone at 770-514-5487 and via fax at 770-514-5433.

Location: 750 Townpark Ln Nw, Kennesaw, GA, 30144-5579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265707244
Provider Name
Kaiser Foundation Health Plan Of Georgia Inc
Credential
Provider Entity Type
Organization
Address
750 Townpark Ln Nw, Kennesaw, GA, 30144-5579
Phone Number
770-514-5487
Fax Number
770-514-5433
Provider Enumeration Date
03/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2134075 01 PK
institution
Provider Business Practice Location Address Details
Address
750 Townpark Ln Nw
City
Kennesaw
State
Georgia
Zip
30144-5579
Phone Number
770-514-5487
Fax Number
770-514-5433
person
Provider Business Mailing Address Details
Address
750 Townpark Ln Nw
City
Kennesaw
State
Georgia
Zip
30144-5579
Phone Number
770-514-5487
Fax Number
770-514-5433
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHCL000018 (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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