KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC is a managed care organization pharmacy pharmacy in Largo, 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 FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES,INC NPI is 1689732174. The provider is registered as an organization entity type. The provider Is Doing Business As Largo Medical Center Pharmacy.
The provider's business location address is:
1221 MERCANTILE LANE LARGO, MD ZIP 20774-374 Phone: (301) 816-5552 Fax: (301) 618-5554
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.
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:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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