Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Other names
Kaiser Permanente Gwinnett Home Infusion Retail Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Authorized official
MS. DIANE SANDERS (PHARMACY COMPLIANCE MANAGER)
(770) 712-5654
Entity
Organization
Contact information
Practice address
3650 STEVE REYNOLDS BLVD RM 35, DULUTH, GA 30096-4506
(770) 931-6361
(770) 931-6360
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(770) 712-5654
(404) 949-5242
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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