Kaiser Foundation Health Plan Of Georgia, Inc. in Tucker - Managed Care Organization Pharmacy
Kaiser Foundation Health Plan Of Georgia, Inc. - NPI 1578678462
Kaiser Foundation Health Plan Of Georgia, Inc. is a Managed Care Organization Pharmacy in Tucker, Georgia. Kaiser Foundation Health Plan Of Georgia, Inc. practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Kaiser Foundation Health Plan Of Georgia, Inc. is 1578678462. The last update date is 2021-08-04.
Kaiser Foundation Health Plan Of Georgia, Inc.'s current location address is 200 Crescent Center Pkwy, Tucker, Georgia. You can contact this provider via phone number 7704963523 and fax number 7704963713. The mailing address for Kaiser Foundation Health Plan Of Georgia, Inc. is 200 Crescent Center Pkwy, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Foundation Health Plan Of Georgia, Inc. |
|---|---|
| Address | 200 Crescent Center Pkwy, Tucker, Georgia |
| Phone Number | 7704963523 |
| Fax Number | 7704963713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHCY COMPL |
|---|---|
| Authorized Official Name | Sanders-Harvey Diane |
| Telephone Number | 4049495336 |
NPI Number Detail
| NPI Number | 1578678462 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2021-08-04 |
Provider Mailing Address Detail
| Address | 200 Crescent Center Pkwy |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300847047 |
| Phone Number | 7704963523 |
| Fax Number | 7704963713 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
| Licence No | PHRE007007 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1136111 | NCPDP PROVIDER IDENTIFICATION |
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What is the Kaiser Foundation Health Plan Of Georgia, Inc.'s 1578678462?
The Kaiser Foundation Health Plan Of Georgia, Inc.'s NPI (National Provider Identifier) Number is 1578678462. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kaiser Foundation Health Plan Of Georgia, Inc. is located?
The Kaiser Foundation Health Plan Of Georgia, Inc. is situated at the following address: 200 Crescent Center Pkwy, Tucker, GA, 300847047.
What is Kaiser Foundation Health Plan Of Georgia, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kaiser Foundation Health Plan Of Georgia, Inc. is Managed Care Organization Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336M0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578678462 to Kaiser Foundation Health Plan Of Georgia, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1578678462 to Kaiser Foundation Health Plan Of Georgia, Inc. on 2006-08-20.
When was the information related to Kaiser Foundation Health Plan Of Georgia, Inc. most recently updated or refreshed?
The details pertaining to the Kaiser Foundation Health Plan Of Georgia, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2021-08-04.