Organization · Type 2 NPI
Kaiser Foundation Health Plan of Georgia, Inc.
Managed Care Organization Pharmacy · Marietta, GA
NPI number
1063733210
Active
Practice location
2505 Dallas Hwy SW
Marietta, GA 30064-2659
Fax (770) 792-2003
Mailing address
3495 Piedmont Rd NE
Atlanta, GA 30305-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | PHRE009685 (GA) |
Managed Care Organization Pharmacy: 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.
2 other providers at this address
Other managed care organization pharmacy providers in Marietta
About NPI 1063733210
Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1063733210, issued on Jun 22, 2010. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Marietta, GA. The record was last updated on Jul 10, 2015.