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.