| NPI | 1104361617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL PAK Pharmacist 202-346-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: DC PH3325) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2016-12-20 |