Kaiser Permanente Glenlake Clinic Pharmacy
LBN: Kaiser Foundation Health Plan Of Georgia, Inc.
Kaiser Permanente Glenlake Clinic Pharmacy is an health care organization with primary practice located at 20 Glenlake Pkwy , Atlanta GA 30328-3473. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Clinic Pharmacy is the primary health care specialty.
Kaiser Foundation Health Plan Of Georgia, Inc. can be contacted via phone (770) 677-6321, or through Sanders, Diane via phone (770) 712-5654.
Contact Information
Primary practice address
20 Glenlake Pkwy
Atlanta GA 30328-3473
Phone: (770) 677-6321
Fax: (770) 677-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | PHCL000028 | Georgia |
Profile Details
| NPI number | 1417343120 |
|---|---|
| LBN Legal business name | Kaiser Foundation Health Plan Of Georgia, Inc. |
| DBA Doing business as | Kaiser Permanente Glenlake Clinic Pharmacy |
| Authorized official | Sanders, Diane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Aug 4th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417343120 | NPPES |
| Other | 2145689 | PK |
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