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Kaiser Foundation Health Plan Of Georgia, Inc.
Managed Care Organization Pharmacy in Buford, Georgia
NPI 1922295310

Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy based in Buford, GA and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of Georgia, Inc. practices in Buford, GA. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1922295310 and holds a License No. PHRE009386 (Georgia).

The current practice location address for Kaiser Foundation Health Plan Of Georgia, Inc. is 1435 Broadmoor Blvd, Buford, GA and can be reached out via phone at 678-765-5680 and via fax at 678-765-5682.

Location: 1435 Broadmoor Blvd, Buford, GA, 30518-5408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922295310
Provider Name
Kaiser Foundation Health Plan Of Georgia, Inc.
Credential
Provider Entity Type
Organization
Address
1435 Broadmoor Blvd, Buford, GA, 30518-5408
Phone Number
678-765-5680
Fax Number
678-765-5682
Provider Enumeration Date
09/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1156240 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
1435 Broadmoor Blvd
City
Buford
State
Georgia
Zip
30518-5408
Phone Number
678-765-5680
Fax Number
678-765-5682
person
Provider Business Mailing Address Details
Address
1435 Broadmoor Blvd
City
Buford
State
Georgia
Zip
30518-5408
Phone Number
678-765-5680
Fax Number
678-765-5682
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
PHRE009386 (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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