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Kaiser Foundation Health Plan Of Georgia Inc
Clinic Pharmacy in Duluth, Georgia
NPI 1508123811

Kaiser Foundation Health Plan Of Georgia Inc is a Clinic Pharmacy based in Duluth, GA and is specialized in Clinic Pharmacy. Kaiser Foundation Health Plan Of Georgia Inc practices in Duluth, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia Inc is 1508123811 and holds a License No. PHCL000015 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia Inc is 3650 Steve Reynolds Blvd, Duluth, GA and can be reached out via phone at 770-931-6188 and via fax at 770-931-6375.

Location: 3650 Steve Reynolds Blvd, Duluth, GA, 30096-4506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508123811
Provider Name
Kaiser Foundation Health Plan Of Georgia Inc
Credential
Provider Entity Type
Organization
Address
3650 Steve Reynolds Blvd, Duluth, GA, 30096-4506
Phone Number
770-931-6188
Fax Number
770-931-6375
Provider Enumeration Date
04/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1162255 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
3650 Steve Reynolds Blvd
City
Duluth
State
Georgia
Zip
30096-4506
Phone Number
770-931-6188
Fax Number
770-931-6375
person
Provider Business Mailing Address Details
Address
3650 Steve Reynolds Blvd
City
Duluth
State
Georgia
Zip
30096-4506
Phone Number
770-931-6188
Fax Number
770-931-6375
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
PHCL000015 (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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