Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Largo, MD

NPI number 1689732174 Active

Practice location

1221 Mercantile Lane
Largo, MD 20774-5374

Call (301) 816-5552 Map

Fax (301) 618-5554

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.

40 other providers at this address

About NPI 1689732174

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1689732174, issued on Dec 5, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Largo, MD. The record was last updated on Jul 25, 2025.