Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Washington, DC

NPI number 1699084046 Active

Practice location

700 2nd St NE, Suite L18
Washington, DC 20002-4308

Fax (202) 346-3301

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.

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About NPI 1699084046

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1699084046, issued on Oct 4, 2010. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Washington, DC. The record was last updated on Jul 25, 2025.