KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC is a managed care organization pharmacy pharmacy in Manassas, 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 1801954300. The provider is registered as an organization entity type.
The provider Is Doing Business As Manassas Medical Center Pharmacy.
The provider's business location address is:
10701 ROSEMARY DR
MANASSAS, VA
ZIP 20109-843
Phone: (703) 257-3056
Fax: (703) 257-3133
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 12/5/2006 and was last updated on 5/27/2021.