Organization · Type 2 NPI
Kaiser Permanente Internal
Managed Care Organization Pharmacy · Tucker, GA
NPI number
1205872686
Active
Practice location
200 Cres Ctr Pkwy
Tucker, GA 30084-7047
Fax (770) 496-3528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | 07798 (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.
Another provider at this address
Other managed care organization pharmacy providers in Tucker
About NPI 1205872686
Kaiser Permanente Internal's National Provider Identifier is 1205872686, issued on Jun 22, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Tucker, GA. The record was last updated on Jul 19, 2007.