| NPI | 1831495803 |
|---|---|
| Doing Business As | KAISER PERMANENTE FAYETTE |
| 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 PHRE009731) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2021-08-04 |