| NPI | 1063733210 |
|---|---|
| Doing Business As | KAISER PERMANENTE WEST MARIETTA |
| Entity Type | Organization |
| Authorized Contact | DIANE SANDERS Pharmacy Compliance Manager 404-949-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: GA PHRE009685) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2015-07-10 |