KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC. is a managed care organization pharmacy pharmacy in Haymarket, 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 1578120747. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Haymarket Crossroads Pharmacy.
The provider's business location address is:
15050 HEATHCOTE BLVD
HAYMARKET, VA
ZIP 20169-251
Phone: (571) 455-7300
Fax: (571) 455-7301
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 49D2167706 - health main. organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 5/23/2019 and was last updated on 5/27/2021.