Kaiser Foundation Health Plan Of Georgia Inc
Clinic Pharmacy
750 Townpark Ln Nw, Kennesaw
Georgia, 30144-5579
770-514-5636 770-794-4009
Kaiser Foundation Health Plan Of Georgia Inc is a Clinic Pharmacy in Kennesaw, Georgia. It is located at 750 Townpark Ln Nw, Kennesaw and it's customer support contact number is 770-514-5636. The authorized person of Kaiser Foundation Health Plan Of Georgia Inc is Ms. Diane Sanders who is Pharmacy Compliance Manager of the pharmacy and her contact number is 770-712-5654. Active license number of Kaiser Foundation Health Plan Of Georgia Inc is PHCL000017 for Clinic Pharmacy in Georgia.
Kaiser Foundation Health Plan Of Georgia Inc is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Kaiser Foundation Health Plan Of Georgia Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kaiser Foundation Health Plan Of Georgia Inc |
| Type: | Clinic Pharmacy |
| Location: | 750 Townpark Ln Nw, Kennesaw,
Georgia, 30144-5579 |
| Phone: | 770-514-5636 |
| Fax: | 770-794-4009 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Diane Sanders |
| Position: | Pharmacy Compliance Manager |
| Contact Number: | 770-712-5654 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1417214925 |
| NPI Enumeration Date: | 20 Apr, 2012 |
| NPI Last Update On: | 04 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kaiser Foundation Health Plan Of Georgia Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | PHCL000017 | Georgia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1162306 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 750 Townpark Ln Nw,
Kennesaw, Georgia |
| Zip: | 30144-5579 |
| Phone Number: | 770-514-5636 |
| Fax Number: | 770-794-4009 |
Patients can reach Kaiser Foundation Health Plan Of Georgia Inc at
750 Townpark Ln Nw, Kennesaw, Georgia or can
call on customer care at 770-514-5636.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.