Kaiser Foundation Health Plan of Georgia, Inc
Kaiser Foundation Health Plan of Georgia, Inc is a Pharmacy in Jonesboro, Georgia. Licensed in Georgia. Registered with an NPI since 2014.
- Licensed in
- GA
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2400 Mount Zion PkwyJonesboro, GA 30236-2500
Phone: (770) 603-4242
Fax: (770) 603-4243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic Pharmacy (primary) | Taxonomy 3336C0002X · Licence PHCL000025 (GA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Managed Care Organization Pharmacy | Taxonomy 3336M0003X |
Record details
| NPI number | 1861817017 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diane Sanders — Pharmacy Compliance Manager · (770) 712-5654 |
| Other names | Kaiser Permanente Southwood Clinic Pharmacy; Kaiser Permanente Southwood Clinic Pharmacy |
| NPI enumerated | February 25, 2014 |
| Last updated in NPPES | August 4, 2021 |
| Certification date | August 4, 2021 |
| Mailing address | 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 |
Other providers in Jonesboro
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Kaiser Foundation Health Plan of Georgia, Inc
2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 · (770) 603-3511