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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Lithonia, Georgia
NPI 1487769378

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 1487769378 and holds a License No. PHRE007143 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 5440 Hillandale Dr, Lithonia, GA and can be reached out via phone at 770-322-2737 and via fax at 770-322-3283.

Location: 5440 Hillandale Dr, Lithonia, GA, 30058-4865
institution
Provider Profile Details
NPI Number
1487769378
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
5440 Hillandale Dr, Lithonia, GA, 30058-4865
Phone Number
770-322-2737
Fax Number
770-322-3283
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1136743 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
5440 Hillandale Dr
City
State
Zip
30058-4865
Phone Number
770-322-2737
Fax Number
770-322-3283
person
Provider Business Mailing Address Details
Address
5440 Hillandale Dr
City
State
Zip
30058-4865
Phone Number
770-322-2737
Fax Number
770-322-3283
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
License No.
PHRE007143 (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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