Kaiser Foundation Health Plan Of Georgia, INC.
Pharmacy, Managed Care Organization Pharmacy in Cumming, GA. Organization (NPI-2).
NPI number1447487574
StatusActive
Last updated in NPPESAug 4, 2021
Details
- NPI
- 1447487574
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan Of Georgia, INC.
- Organization subpart
- No
- Enumeration date
- Jun 16, 2009
- Certification date
- Aug 4, 2021
- Last updated
- Aug 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336M0003X | Pharmacy, Managed Care Organization Pharmacy | PHRE009584 | GA | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Kaiser Permanente Forsyth Pharmacy (Doing Business As)
Practice location
1400 Northside Forsyth Dr Ste 350Cumming, GA 30041-6018
Phone 404-364-4824 · Fax 404-949-5242
Mailing address
1400 Northside Forsyth Dr Ste 350Cumming, GA 30041-6018
Phone 404-364-4824 · Fax 404-949-5242
Authorized official
Diane Sanders
Pharmacy Compliance Manager
7707125654
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