Kaiser Permanente Fayette

Managed Care Organization Pharmacy


  
  101 Banks Sta, Fayetteville
Georgia, 30214-7507

 678-610-3701    678-610-3703
Kaiser Permanente Fayette is a Managed Care Organization Pharmacy in Fayetteville, Georgia. This pharmacy is owned and operated by Kaiser Foundation Health Plan Of Georgia, Inc.. It is located at 101 Banks Sta, Fayetteville and it's customer support contact number is 678-610-3701. The authorized person of Kaiser Permanente Fayette 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 Permanente Fayette is PHRE009731 for Managed Care Organization Pharmacy in Georgia.
Kaiser Permanente Fayette is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.


Pharmacy Details:
Kaiser Permanente Fayette 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 Permanente Fayette
Type: Managed Care Organization Pharmacy
Location:101 Banks Sta, Fayetteville,
Georgia, 30214-7507
Phone:678-610-3701
Fax:678-610-3703
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: 1831495803
NPI Enumeration Date: 08 Feb, 2011
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 Permanente Fayette are as mentioned below.
SpecializationLicense NumberStateStatus
Managed Care Organization Pharmacy PHRE009731GeorgiaPrimary
Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
2127407OtherPk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 101 Banks Sta,
Fayetteville, Georgia
Zip: 30214-7507
Phone Number: 678-610-3701
Fax Number: 678-610-3703
Patients can reach Kaiser Permanente Fayette at 101 Banks Sta, Fayetteville, Georgia or can call on customer care at 678-610-3701.

Comments/ Reviews:


*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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