KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. is a managed care organization pharmacy pharmacy in Bowie, MD. The provider is a pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only. KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC. NPI is 1205420247. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Bowie Fairwood Pharmacy.
The provider's business location address is:
5400 HILLMEADE RD
BOWIE, MD
ZIP 20720-777
Phone: (301) 867-1330
Fax: (301) 867-1332
The provider's authorized official is Robert K Ricketts .
The authorized official title is Chief Financial Officer and has the following contact phone number (301) 741-2874.
The CLIA number assigned to this NPI record is 21D2238178 - health main. organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/20/2021 and was last updated on 5/26/2021.