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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Jonesboro, Georgia
NPI 1861817017

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Jonesboro, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Jonesboro, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1861817017 and holds a License No. (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 2400 Mount Zion Pkwy, Jonesboro, GA and can be reached out via phone at 770-603-4242 and via fax at 770-603-4243.

Location: 2400 Mount Zion Pkwy, Jonesboro, GA, 30236-2500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861817017
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
2400 Mount Zion Pkwy, Jonesboro, GA, 30236-2500
Phone Number
770-603-4242
Fax Number
770-603-4243
Provider Enumeration Date
02/25/2014
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2144375 01 PK
institution
Provider Business Practice Location Address Details
Address
2400 Mount Zion Pkwy
City
Jonesboro
State
Georgia
Zip
30236-2500
Phone Number
770-603-4242
Fax Number
770-603-4243
person
Provider Business Mailing Address Details
Address
2400 Mount Zion Pkwy
City
Jonesboro
State
Georgia
Zip
30236-2500
Phone Number
770-603-4242
Fax Number
770-603-4243
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
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
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
PHCL000025 (Georgia)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 3
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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