| NPI | 1174826754 |
|---|---|
| Doing Business As | KAISER PERMANENTE CONYERS |
| Entity Type | Organization |
| Authorized Contact | DIANE SANDERS Pharmacy Compliance Manager 770-712-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: GA PHRE009716) |
| Additional Taxonomies | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2021-08-04 |