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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Decatur, Georgia
NPI 1699003681

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Decatur, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Decatur, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1699003681 and holds a License No. PHRE009629 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 201 W Ponce De Leon Ave, Decatur, GA and can be reached out via phone at 404-687-7680 and via fax at 404-687-7730.

Location: 201 W Ponce De Leon Ave, Decatur, GA, 30030-3217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699003681
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
201 W Ponce De Leon Ave, Decatur, GA, 30030-3217
Phone Number
404-687-7680
Fax Number
404-687-7730
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1159335 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
201 W Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-3217
Phone Number
404-687-7680
Fax Number
404-687-7730
person
Provider Business Mailing Address Details
Address
201 W Ponce De Leon Ave
City
Decatur
State
Georgia
Zip
30030-3217
Phone Number
404-687-7680
Fax Number
404-687-7730
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE009629 (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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