KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC. is a managed care organization pharmacy pharmacy in Stafford, 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 1477016368. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Colonial Forge Pharmacy.
The provider's business location address is:
125 HOSPITAL CENTER BLVD STE 110
STAFFORD, VA
ZIP 22554-202
Phone: (540) 602-6300
Fax: (540) 602-6302
The provider's authorized official is Joseph T Butz .
The authorized official title is Chief Operating Officer and has the following contact phone number (301) 816-5867.
The CLIA number assigned to this NPI record is 49D2167166 - health main. organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 4/9/2019 and was last updated on 5/26/2021.