Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE CONWAY (SUPV CLINICAL PHARMACY)
(703) 922-1530
Entity
Organization
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1530
Mailing address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
05/27/2016
Last updated
05/27/2016
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