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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Snellville, Georgia
NPI 1538480553

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Snellville, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Snellville, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1538480553 and holds a License No. (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 2240 Fountain Dr, Snellville, GA and can be reached out via phone at 770-978-5399 and via fax at 770-978-5397.

Location: 2240 Fountain Dr, Snellville, GA, 30078-2919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538480553
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
2240 Fountain Dr, Snellville, GA, 30078-2919
Phone Number
770-978-5399
Fax Number
770-978-5397
Provider Enumeration Date
06/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1159931 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2240 Fountain Dr
City
Snellville
State
Georgia
Zip
30078-2919
Phone Number
770-978-5399
Fax Number
770-978-5397
person
Provider Business Mailing Address Details
Address
2240 Fountain Dr
City
Snellville
State
Georgia
Zip
30078-2919
Phone Number
770-978-5399
Fax Number
770-978-5397
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHRE009686 (Georgia)
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
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
()
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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