Kaiser Permanente Internal
Managed Care Organization Pharmacy
200 Cres Ctr Pkwy, Tucker
Georgia, 30084-7047
770-496-3623 770-496-3528
Kaiser Permanente Internal is a Managed Care Organization Pharmacy in Tucker, Georgia. It is located at 200 Cres Ctr Pkwy, Tucker and it's customer support contact number is 770-496-3623. The authorized person of Kaiser Permanente Internal is Diane Sanders Harvey who is Phcy Compliance Mgr Ga of the pharmacy and his contact number is 404-949-5336. Active license number of Kaiser Permanente Internal is 07798 for Managed Care Organization Pharmacy in Georgia.
Kaiser Permanente Internal 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 Internal 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 Internal |
| Type: | Managed Care Organization Pharmacy |
| Location: | 200 Cres Ctr Pkwy, Tucker,
Georgia, 30084-7047 |
| Phone: | 770-496-3623 |
| Fax: | 770-496-3528 |
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: | Diane Sanders Harvey |
| Position: | Phcy Compliance Mgr Ga |
| Contact Number: | 404-949-5336 |
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: | 1205872686 |
| NPI Enumeration Date: | 22 Jun, 2006 |
| NPI Last Update On: | 19 Jul, 2007 |
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 Internal are as mentioned below.
| Specialization | License Number | State | Status | |
| Managed Care Organization Pharmacy | 07798 | Georgia | Primary | |
| Pharmacy | | | Secondary | |
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 |
| 1141023 | Other | | Other Id Number |
| 1141023 | Other | | Other Id Number-commercial 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: | 200 Cres Ctr Pkwy,
Tucker, Georgia |
| Zip: | 30084-7047 |
| Phone Number: | -- |
Patients can reach Kaiser Permanente Internal at
200 Cres Ctr Pkwy, Tucker, Georgia or can
call on customer care at 770-496-3623.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.