Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Parent organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Other names
Rx Choice Mail Order Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
COLLEEN E SWINTON (CREDENTIALING DIRECTOR)
(301) 257-2729
Entity
Organization
Contact information
Practice address
1890 METRO CENTER DRIVE, RESTON, VA 20190-5276
(703) 709-1810
(703) 709-1688
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
(703) 466-4802
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Enumeration date
12/26/2006
Last updated
07/24/2025
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