Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Suiltland, MD

NPI number 1669547600 Active

Practice location

5100 Auth Way
Suiltland, MD 20746-4207

Call (301) 702-5190 Map

Fax (301) 702-5110

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.

54 other providers at this address

About NPI 1669547600

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1669547600, issued on Nov 22, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Suiltland, MD. The record was last updated on Jul 25, 2025.