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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Lithonia, Georgia
NPI 1366622912

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Lithonia, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Lithonia, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1366622912 and holds a License No. PHRE009408 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 8011 Mall Pkwy, Lithonia, GA and can be reached out via phone at 678-323-7580 and via fax at 404-949-5242.

Location: 8011 Mall Pkwy, Lithonia, GA, 30038-2543
institution
Provider Profile Details
NPI Number
1366622912
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
8011 Mall Pkwy, Lithonia, GA, 30038-2543
Phone Number
678-323-7580
Fax Number
404-949-5242
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1156531 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
8011 Mall Pkwy
City
State
Zip
30038-2543
Phone Number
678-323-7580
Fax Number
404-949-5242
person
Provider Business Mailing Address Details
Address
8011 Mall Pkwy
City
State
Zip
30038-2543
Phone Number
678-323-7580
Fax Number
404-949-5242
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
License No.
PHRE009408 (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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