| NPI | 1568577450 |
|---|---|
| Doing Business As | KAISER PERMANENTE BROOKWOOD |
| Entity Type | Organization |
| Authorized Contact | DIANE SANDERS Phcy Compliance Mgr 404-949-5336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy (Licence: GA PHRE008700) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2021-08-04 |