Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Columbia, MD

NPI number 1417023391 Active

Practice location

7070 Samuel Morse Drive
Columbia, MD 21046-3405

Fax (410) 309-3350

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.

Another provider at this address

About NPI 1417023391

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1417023391, issued on Nov 24, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Columbia, MD. The record was last updated on Jul 24, 2025.