Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Managed Care Organization Pharmacy · Gaithersburg, MD

NPI number 1710045299 Active

Practice location

655 Watkins Mill Road
Gaithersburg, MD 20879-3323

Fax (301) 258-7211

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.

6 other providers at this address

About NPI 1710045299

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1710045299, issued on Dec 5, 2006. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Gaithersburg, MD. The record was last updated on Jul 30, 2025.