Organization · Type 2 NPI

Kaiser Foundation Health Plan of Georgia, Inc.

Clinic Pharmacy · Jonesboro, GA

NPI number 1861817017 Active

Practice location

2400 Mount Zion Pkwy
Jonesboro, GA 30236-2500

Call (770) 603-4242 Map

Fax (770) 603-4243

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Clinic Pharmacy Primary 3336C0002XPHCL000025 (GA)
Managed Care Organization Pharmacy 3336M0003XNone listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

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About NPI 1861817017

Kaiser Foundation Health Plan of Georgia, Inc.'s National Provider Identifier is 1861817017, issued on Feb 25, 2014. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Jonesboro, GA. The record was last updated on Aug 4, 2021.