KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
3650 Steve Reynolds Blvd
Duluth, GA 30096
770-931-6362
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0004X | Suppliers - Pharmacy - Compounding Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | GA | PHCL000016 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2118693 | OTHER |