KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is a managed care organization pharmacy pharmacy in Columbia, 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 1417023391. The provider is registered as an organization entity type. The provider Is Doing Business As Columbia Gateway Medical Center Pharmacy.
The provider's business location address is:
7070 SAMUEL MORSE DRIVE COLUMBIA, MD ZIP 21046-405 Phone: (410) 309-7500 Fax: (410) 309-3350
The provider's authorized official is Deanne G Petersen . The authorized official title is Chief Financial Officer and has the following contact phone number (301) 816-5760.
The enumeration date for this NPI number is 11/24/2006 and was last updated on 5/26/2021.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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