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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Tucker, Georgia
NPI 1578678462

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Tucker, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Tucker, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1578678462 and holds a License No. PHRE007007 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 200 Crescent Center Pkwy, Tucker, GA and can be reached out via phone at 770-496-3523 and via fax at 770-496-3713.

Location: 200 Crescent Center Pkwy, Tucker, GA, 30084-7047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578678462
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
200 Crescent Center Pkwy, Tucker, GA, 30084-7047
Phone Number
770-496-3523
Fax Number
770-496-3713
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1136111 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
200 Crescent Center Pkwy
City
Tucker
State
Georgia
Zip
30084-7047
Phone Number
770-496-3523
Fax Number
770-496-3713
person
Provider Business Mailing Address Details
Address
200 Crescent Center Pkwy
City
Tucker
State
Georgia
Zip
30084-7047
Phone Number
770-496-3523
Fax Number
770-496-3713
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE007007 (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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