KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

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Contact Information

KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

1478 DOGWOOD DR SE
CONYERS, GA 30013-5088

Phone: 678-413-4321
Fax: 678-413-4323
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pharmacy	333600000X	58	Medical Supply Company with Pharmacist
Managed Care Organization Pharmacy	3336M0003X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

NPI # 1174826754

LBN Legal business name KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Authorized official DIANE SANDERS - (PHARMACY COMPLIANCE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/21/2010

Last updated 08/04/2021 - About 5 years ago

Identifiers

GA	License #	PHRE009716
	Other	1160756	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Contact Information

Specialty

Pharmacy

Managed Care Organization Pharmacy

NPI Profile & details for KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.

Reviews for KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.