Kaiser Permanente Internal in Tucker - Managed Care Organization Pharmacy
Kaiser Permanente Internal - NPI 1205872686
Kaiser Permanente Internal is a Managed Care Organization Pharmacy in Tucker, Georgia. Kaiser Permanente Internal practices all healthcare services and medical treatments related to Managed Care Organization Pharmacy. The NPI Number for Kaiser Permanente Internal is 1205872686. The last update date is 2007-07-19.
Kaiser Permanente Internal's current location address is 200 Cres Ctr Pkwy, Tucker, Georgia. You can contact this provider via phone number 7704963623 and fax number 7704963528. The mailing address for Kaiser Permanente Internal is 200 Cres Ctr Pkwy, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kaiser Permanente Internal |
|---|---|
| Address | 200 Cres Ctr Pkwy, Tucker, Georgia |
| Phone Number | 7704963623 |
| Fax Number | 7704963528 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHCY COMPL |
|---|---|
| Authorized Official Name | Sanders Harvey Diane |
| Telephone Number | 4049495336 |
NPI Number Detail
| NPI Number | 1205872686 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 200 Cres Ctr Pkwy |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300847047 |
| Phone Number | 7704963623 |
| Fax Number | 7704963528 |
Provider's Primary Taxonomy Detail
| Speciality | Managed Care Organization Pharmacy |
|---|---|
| Taxonomy | 3336M0003X |
| Licence No | 7798 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1141023 | OTHER ID NUMBER | ||
| 1141023 | OTHER ID NUMBER-COMMERCIAL NUM |
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What is the unique 10-digit identification code issued to Kaiser Permanente Internal by the Centers for Medicare & Medicaid Services?
The Kaiser Permanente Internal has been assigned the NPI (National Provider Identifier) 1205872686 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kaiser Permanente Internal located?
The Kaiser Permanente Internal is located at 200 Cres Ctr Pkwy, Tucker, GA 300847047.
What is Kaiser Permanente Internal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kaiser Permanente Internal is Managed Care Organization Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336M0003X.
On what date did the Kaiser Permanente Internal receive its 1205872686 assignment from the Centers for Medicare & Medicaid Services?
The Kaiser Permanente Internal was assigned its 1205872686 by the Centers for Medicare & Medicaid Services on 2006-06-22.
As of what date were the details pertaining to Kaiser Permanente Internal last refreshed?
The information related to the Kaiser Permanente Internal, including its address, specialty, and other relevant details, was last updated on 2007-07-19.