| NPI | 1316251598 |
|---|---|
| Doing Business As | KAISER PERMANENTE DOUGLASVILLE |
| Entity Type | Organization |
| Authorized Contact | DIANE SANDERS Pharmacy Compliance Manager 770-712-5654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: GA PHRE009688) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2021-08-04 |