Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Other names
Loudon Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN E SWINTON (CREDENTIALING DIRECTOR)
(301) 257-2797
Entity
Organization
Contact information
Practice address
19450 DEERFIELD AVENUE, SUITE 300, LANSDOWNE, VA 20176-6821
(703) 726-2125
(703) 726-4553
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
3336M0003X
Managed Care Organization Pharmacy
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
07/25/2025
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