KAISER PERMANENTE INTERNAL is a managed care organization pharmacy pharmacy in Tucker, GA. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. KAISER PERMANENTE INTERNAL NPI is 1205872686. The provider is registered as an organization entity type.
The provider's business location address is:
200 CRES CTR PKWY
TUCKER, GA
ZIP 30084-047
Phone: (770) 496-3623
Fax: (770) 496-3528
The provider's authorized official is Diane Sanders Harvey .
The authorized official title is Phcy Compliance Mgr Ga and has the following contact phone number (404) 949-5336.
The CLIA number assigned to this NPI record is 11D0259510 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/19/2007.