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
Tysons Corner Medical Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Authorized official
MRS. COLLEEN E SWINTON (CREDENTIALING DIRECTOR)
(301) 257-2797
Entity
Organization
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 490-8400
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 257-2797
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
07/25/2025
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