OrganizationActive
Kaiser Foundation Health Plan of Georgia Inc
NPI 1417214925 · Clinic Pharmacy · Kennesaw, GA
Provider details
- NPI number
- 1417214925
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Diane Sanders, Pharmacy Compliance Manager(770) 712-5654
- License
- PHCL000017 (GA)
Specialties & taxonomies
Suppliers
Practice location
750 Townpark Ln Nw
Kennesaw, GA 30144-5579
Phone: (770) 514-5636
Fax: (770) 794-4009
Approximate (ZIP-level) locationGet directions
Mailing address
750 Townpark Ln Nw
Kennesaw, GA 30144-5579
Other names (DBA / former)
- Doing business as
- Kaiser Permanente Townpark Clinic Pharmacy
- Doing business as
- Kaiser Permanente Townpark Clinic Pharmacy
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2021-08-04
- Certified
- 2021-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.