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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Austell, Georgia
NPI 1578606950

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Austell, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Austell, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1578606950 and holds a License No. PHRE009118 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 3640 Tramore Pointe Pkwy, Austell, GA and can be reached out via phone at 770-439-4703 and via fax at 770-439-4743.

Location: 3640 Tramore Pointe Pkwy, Austell, GA, 30106-6825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578606950
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
3640 Tramore Pointe Pkwy, Austell, GA, 30106-6825
Phone Number
770-439-4703
Fax Number
770-439-4743
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2016476 01 PK
institution
Provider Business Practice Location Address Details
Address
3640 Tramore Pointe Pkwy
City
Austell
State
Georgia
Zip
30106-6825
Phone Number
770-439-4703
Fax Number
770-439-4743
person
Provider Business Mailing Address Details
Address
3640 Tramore Pointe Pkwy
City
Austell
State
Georgia
Zip
30106-6825
Phone Number
770-439-4703
Fax Number
770-439-4743
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE009118 (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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