Kaiser Permanente Townpark Clinic Pharmacy

LBN: Kaiser Foundation Health Plan Of Georgia Inc
Kaiser Permanente Townpark Clinic Pharmacy is an health care organization with primary practice located at 750 Townpark Ln Nw , Kennesaw GA 30144-5579. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of Georgia Inc can be contacted via phone (770) 514-5636, or through Sanders, Diane via phone (770) 712-5654.

Contact Information

Primary practice address
750 Townpark Ln Nw Kennesaw GA 30144-5579
Phone: (770) 514-5636
Fax: (770) 794-4009
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Diane
Phone: (770) 712-5654

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHCL000017 Georgia

Profile Details

NPI number 1417214925
LBN Legal business name Kaiser Foundation Health Plan Of Georgia Inc
DBA Doing business as Kaiser Permanente Townpark Clinic Pharmacy
Authorized official Sanders, Diane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2012
Last updated Aug 4th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417214925 NPPES
Other 1162306 NCPDP PROVIDER IDENTIFICATION NUMBER

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