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.
GA license #PHRE008647taxonomy 3336M0003X
Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
taxonomy 333600000X
Identifiers
Type
Value
Notes
01
1150250
NCPDP PROVIDER IDENTIFICATION NUMBER
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
KAISER PERMANENTE HENRY
Type code 3recorded 2021-08-04
KAISER PERMANENTE HENRY
Type code 3recorded 2009-11-09
Practice context
Multi-provider organization.
9 individual providers on file at this primary address.
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