KAISER FOUNDATION HEALTH PLAN MID ATLANTIC STATES is a managed care organization pharmacy pharmacy in Lansdowne, 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 MID ATLANTIC STATES NPI is 1700951746. The provider is registered as an organization entity type.
The provider Is Doing Business As Loudon Medical Center Pharmacy.
The provider's business location address is:
19450 DEERFIELD AVENUE
SUITE 300
LANSDOWNE, VA
ZIP 20176-821
Phone: (703) 726-2125
Fax: (703) 726-4553
The provider's authorized official is William G Moran .
The authorized official title is Director Data Management and has the following contact phone number (301) 818-5832.
The enumeration date for this NPI number is 11/22/2006 and was last updated on 5/27/2021.