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

ROCKVILLE, MD
NPI1871651349
Doing Business AsSHADY GROVE MEDICAL CENTER PHARMACY
Entity TypeOrganization
Authorized ContactCOLLEEN SWINTON
Credentialing Director
301-257-2797
Organization Subpart ?Yes
Primary Taxonomy3336M0003X Pharmacy, Managed Care Organization Pharmacy
Enumeration Date2006-12-05
Last Update Date2025-10-10
Business Address
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
1396 PICCARD DRIVE
ROCKVILLE, MD 20850-4302
Phone number: 301-548-5755
Mailing Address
KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC
4000 GARDEN CITY DR
HYATTSVILLE, MD 20785-2418
Phone number: 301-816-2424