Organization · Type 2 NPI
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Managed Care Organization Pharmacy · Abingdon, MD
NPI number
1083153696
Active
Practice location
3400 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1290
Mailing address
4000 Garden City Dr
Hyattsville, MD 20785-2418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Managed Care Organization Pharmacy Primary | 3336M0003X | None listed |
Managed Care Organization Pharmacy: 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.
Another provider at this address
About NPI 1083153696
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1083153696, issued on Feb 15, 2017. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Abingdon, MD. The record was last updated on Jul 24, 2025.