Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
Pharmacy, Managed Care Organization Pharmacy in Columbia, MD. Organization (NPI-2).
NPI number1417023391
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1417023391
- Entity type
- Organization (NPI-2)
- Legal business name
- Kaiser Foundation Health Plan Of The Mid Atlantic States, INC
- Organization subpart
- Yes
- Enumeration date
- Nov 24, 2006
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336M0003X | Pharmacy, Managed Care Organization Pharmacy | – | – | Yes |
Other names
- Columbia Gateway Medical Center Pharmacy (Doing Business As)
Practice location
7070 Samuel Morse DriveColumbia, MD 21046-3405
Phone 410-309-7500 · Fax 410-309-3350
Mailing address
4000 Garden City DrHyattsville, MD 20785-2418
Phone 301-816-2424
Authorized official
Colleen E Swinton
Credentialing Director
3012572797
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