Organization
KABAFUSION GA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA BENKENDORFER PHARM. D. (CHIEF OPERATING OFFICER)
(800) 435-3020
Entity
Organization
Contact information
Practice address
2140 NEWMARKET PKWY SE STE 106, MARIETTA, GA 30067-8766
(888) 211-8316
(706) 725-8194
Mailing address
17777 CENTER COURT DR N STE 550, CERRITOS, CA 90703-9337
(800) 435-3020
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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