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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Fayetteville, Georgia
NPI 1831495803

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Fayetteville, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Fayetteville, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1831495803 and holds a License No. (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 101 Banks Sta, Fayetteville, GA and can be reached out via phone at 678-610-3701 and via fax at 678-610-3703.

Location: 101 Banks Sta, Fayetteville, GA, 30214-7507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831495803
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
101 Banks Sta, Fayetteville, GA, 30214-7507
Phone Number
678-610-3701
Fax Number
678-610-3703
Provider Enumeration Date
02/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2127407 01 PK
institution
Provider Business Practice Location Address Details
Address
101 Banks Sta
City
Fayetteville
State
Georgia
Zip
30214-7507
Phone Number
678-610-3701
Fax Number
678-610-3703
person
Provider Business Mailing Address Details
Address
101 Banks Sta
City
Fayetteville
State
Georgia
Zip
30214-7507
Phone Number
678-610-3701
Fax Number
678-610-3703
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PHRE009731 (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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