Organization · Type 2 NPI
Kaiser Foundation Health Plan of Georgia, Inc.
Managed Care Organization Pharmacy · Lithonia, GA
NPI number
1366622912
Active
Practice location
8011 Mall Pkwy
Lithonia, GA 30038-2543
Fax (404) 949-5242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | PHRE009408 (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.
4 other providers at this address
- Kaiser Foundation Health Plan of Georgia Inc.Clinical Medical Laboratory Lithonia, GA NPI 1194988725
- Jasmine Adegbuji, PharmDPharmacist Stonecrest, GA NPI 1255114013
- Miesha N. Rhodes, LCSWClinical Social Worker Lithonia, GA NPI 1770098766
- Shantae Mangaroo, MDFamily Medicine Physician Lithonia, GA NPI 1902293434
Other managed care organization pharmacy providers in Lithonia
About NPI 1366622912
Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1366622912, issued on Nov 13, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Lithonia, GA. The record was last updated on Aug 4, 2021.