Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia, Inc.

Managed Care Organization Pharmacy · Lithonia, GA

NPI number 1487769378 Active

Practice location

5440 Hillandale Dr
Lithonia, GA 30058-4865

Fax (770) 322-3283

Specialties and licenses

TaxonomyCodeLicense
Managed Care Organization Pharmacy Primary 3336M0003XPHRE007143 (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.

25 other providers at this address

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About NPI 1487769378

Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1487769378, issued on Aug 20, 2006. 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.