Kaiser Permanente West Marietta is not a DME supplier for medicare equipments and products.
Kaiser Permanente West Marietta is a Managed Care Organization Pharmacy in Marietta, Georgia. This pharmacy is owned and operated by Kaiser Foundation Health Plan Of Georgia, Inc.. It is located at 2505 Dallas Hwy Sw, Marietta and it's customer support contact number is 770-792-2010. The authorized person of Kaiser Permanente West Marietta is Diane Sanders who is Pharmacy Compliance Manager of the pharmacy and his contact number is 404-949-5336. Active license number of Kaiser Permanente West Marietta is PHRE009685 for Managed Care Organization Pharmacy in Georgia. Kaiser Permanente West Marietta 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 West Marietta 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 West Marietta
Type:
Managed Care Organization Pharmacy
Location:
2505 Dallas Hwy Sw, Marietta, Georgia, 30064-2659
Phone:
770-792-2010
Fax:
770-792-2003
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
Position:
Pharmacy Compliance Manager
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:
1063733210
NPI Enumeration Date:
22 Jun, 2010
NPI Last Update On:
10 Jul, 2015
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 West Marietta are as mentioned below.
Specialization
License Number
State
Status
Managed Care Organization Pharmacy
PHRE009685
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
2125368
Other
Pk
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3495 Piedmont Rd Ne, Atlanta, Georgia
Zip:
30305-1717
Phone Number:
404-364-4824
Fax Number:
404-949-5242
Patients can reach Kaiser Permanente West Marietta at 2505 Dallas Hwy Sw, Marietta, Georgia or can call on customer care at 770-792-2010.
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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