KAISER PERMANENTE FREDERICK MED CTR NPI 1477618502

NPI Information

KAISER PERMANENTE FREDERICK MED CTR is a managed care organization pharmacy pharmacy in Frederick, 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 PERMANENTE FREDERICK MED CTR NPI is 1477618502. The provider is registered as an organization entity type.

The provider's business location address is:

7190 CRESTWOOD BLVD
FREDERICK, MD
ZIP 21703
Phone: (240) 529-1800

The provider's authorized official is Michelle Bonstalli .
The authorized official title is Lead Pharmacist and has the following contact phone number (240) 529-1800.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 5/26/2021.

Taxonomy Codes

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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