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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Holly Springs, Georgia
NPI 1881910552

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Holly Springs, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Holly Springs, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1881910552 and holds a License No. PHRE009659 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 684 Sixes Rd Ste 275, Holly Springs, GA and can be reached out via phone at 770-852-2440 and via fax at 770-852-2441.

Location: 684 Sixes Rd Ste 275, Holly Springs, GA, 30115-8721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881910552
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
684 Sixes Rd Ste 275, Holly Springs, GA, 30115-8721
Phone Number
770-852-2440
Fax Number
770-852-2441
Provider Enumeration Date
04/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1159715 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
684 Sixes Rd Ste 275
City
Holly Springs
State
Georgia
Zip
30115-8721
Phone Number
770-852-2440
Fax Number
770-852-2441
person
Provider Business Mailing Address Details
Address
684 Sixes Rd Ste 275
City
Holly Springs
State
Georgia
Zip
30115-8721
Phone Number
770-852-2440
Fax Number
770-852-2441
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE009659 (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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