institution
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Managed Care Organization Pharmacy in Frederick, Maryland
NPI 1194868422

Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc is a Managed Care Organization Pharmacy based in Sterling, MD and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc practices in Frederick, MD. The NPI Number for Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc is 1194868422 and holds a License No. PO5143 (Maryland).

The current practice location address for Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc is 7190 Crestwood Blvd, Frederick, MD and can be reached out via phone at 240-529-1800. You can also correspond with Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc through the mailing address at 22370 DAVIS DR, STERLING, VA - 20164-5366 (mailing address contact number: 703-466-4800).

Location: 7190 Crestwood Blvd, Frederick, MD, 20164-5366
institution
Provider Profile Details
NPI Number
1194868422
Provider Name
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Credential
Provider Entity Type
Organization
Address
7190 Crestwood Blvd, Frederick, MD, 20164-5366
Phone Number
240-529-1800
Fax Number
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2133229 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
7190 Crestwood Blvd
City
State
Zip
21703-7314
Phone Number
240-529-1800
Fax Number
person
Provider Business Mailing Address Details
Address
22370 Davis Dr
City
State
Zip
20164-5366
Phone Number
703-466-4800
Fax Number
703-466-4802
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
License No.
PO5143 (Maryland)
Definition
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.
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