Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Halethorpe, MD

NPI number 1124366554 Active

Practice location

1701 Twin Springs Rd
Halethorpe, MD 21227-3553

Fax (410) 737-5201

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

Specialties and licenses

TaxonomyCodeLicense
Managed Care Organization Pharmacy Primary 3336M0003XNone 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.

87 other providers at this address

About NPI 1124366554

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1124366554, issued on Jan 18, 2013. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Halethorpe, MD. The record was last updated on Jul 24, 2025.