Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia Inc

Managed Care Organization Pharmacy · Kennesaw, GA

NPI number 1265707244 Active

Practice location

750 Townpark Ln NW
Kennesaw, GA 30144-5579

Fax (770) 514-5433

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XPHCL000018 (GA)
Compounding Pharmacy 3336C0004XNone listed
Managed Care Organization Pharmacy Primary 3336M0003XNone listed

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.

62 other providers at this address

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About NPI 1265707244

Kaiser Foundation Health Plan of Georgia Inc's National Provider Identifier is 1265707244, issued on Mar 9, 2012. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Kennesaw, GA. The record was last updated on Aug 4, 2021.