Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia, Inc.

Managed Care Organization Pharmacy · Jonesboro, GA

NPI number 1841306891 Active

Practice location

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500

Fax (770) 603-3561

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Managed Care Organization Pharmacy Primary 3336M0003XPHRE007139 (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.

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About NPI 1841306891

Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1841306891, issued on Aug 22, 2006. 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.