Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Active
Other names
Kaiser Permanente
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE SANDERS (PHARMACY COMPLIANCE MANAGER)
(770) 712-5654
Entity
Organization
Contact information
Practice address
750 TOWNPARK LN NW RM 203F310, KENNESAW, GA 30144-5824
(770) 514-5487
(770) 514-5433
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(770) 712-5654
(404) 949-5242
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
08/01/2023
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