KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.

BURKE, VA
NPI1164597019
Doing Business AsKAISER PERMANENTE BURKE ADMIXTURE PHARMACY
Entity TypeOrganization
Authorized ContactDEANNE G PETERSEN
Chief Financial Officer
301-816-5760
Organization Subpart ?Yes
Primary Taxonomy3336H0001X Pharmacy, Home Infusion Therapy Pharmacy
Additional Taxonomies3336M0003X Pharmacy, Managed Care Organization Pharmacy
Enumeration Date2006-11-22
Last Update Date2021-05-26
Business Address
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
5999 BURKE COMMONS RD 4TH FLOOR
BURKE, VA 22015-2880
Phone number: 703-249-7750
Mailing Address
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC.
22370 DAVIS DR SUITE 190
STERLING, VA 20164-5366
Phone number: 703-466-4800