| NPI | 1366890592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE CONWAY Supv Clinical Pharmacy 703-922-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |