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KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC

Medical Equipment Supplier Yellow Pages

Largo, Maryland

Provider NPI: 1578885463

Organization Information:
Organization Name:  KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC


Practice Location:
1221 MERCANTILE LN  LARGO, MD 20774 US
Tel: 301-618-5880  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0002XSuppliers
Pharmacy
Clinic Pharmacy
Y3336H0001XSuppliers
Pharmacy
MDPW0335

Other Provider Identifiers:

IssuerNumberStateType
PK212390501
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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