Organization
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Active
Other names
Kaiser Permanente Woodlawn Infusion Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN SWINTON (CREDENTIALING DIRECTOR)
(301) 257-2797
Entity
Organization
Contact information
Practice address
7141 SECURITY BLVD, BALTIMORE, MD 21244-1811
(443) 663-6435
(443) 663-6430
Mailing address
4000 GARDEN CITY DR, HYATTSVILLE, MD 20785-2418
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PW0333
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135146
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/19/2010
Last updated
10/10/2025
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