KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is a managed care organization pharmacy pharmacy in Fredericksburg, VA. 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 1629223250. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Fredericksburg Pharmacy.
The provider's business location address is:
1201 HOSPITAL DR
FREDERICKSBURG, VA
ZIP 22401-428
Phone: (540) 368-3800
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) 816-5780.
The CLIA number assigned to this NPI record is 49D1096920 - health main. organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 11/24/2008 and was last updated on 5/27/2021.