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
Kaiser Permanente Tysons Corner Infusion 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
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 287-6585
(703) 287-6584
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
07/24/2025
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