institution
Kaiser Foundation Health Plan Of Georgia Inc
Clinic Pharmacy in Kennesaw, Georgia
NPI 1417214925

Kaiser Foundation Health Plan Of Georgia Inc is a Clinic Pharmacy based in Kennesaw, GA and is specialized in Clinic Pharmacy. Kaiser Foundation Health Plan Of Georgia Inc practices in Kennesaw, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia Inc is 1417214925 and holds a License No. PHCL000017 (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 770-514-5636 and via fax at 770-794-4009.

Location: 750 Townpark Ln Nw, Kennesaw, GA, 30144-5579
institution
Provider Profile Details
NPI Number
1417214925
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
770-514-5636
Fax Number
770-794-4009
Provider Enumeration Date
04/20/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1162306 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
750 Townpark Ln Nw
City
State
Zip
30144-5579
Phone Number
770-514-5636
Fax Number
770-794-4009
person
Provider Business Mailing Address Details
Address
750 Townpark Ln Nw
City
State
Zip
30144-5579
Phone Number
770-514-5636
Fax Number
770-794-4009
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
PHCL000017 (Georgia)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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