Organization · Type 2 NPI
Kaiser Foundation Health Plan of Georgia, Inc.
Managed Care Organization Pharmacy · Jonesboro, GA
NPI number
1245567783
Active
Practice location
2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500
Fax (770) 603-3561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | PHCL000019 (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.
123 other providers at this address
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Other managed care organization pharmacy providers in Jonesboro
About NPI 1245567783
Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1245567783, issued on Nov 4, 2009. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Jonesboro, GA. The record was last updated on Aug 4, 2021.