Kaiser Permanente Burke Admixture Pharmacy

LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc.
Kaiser Permanente Burke Admixture Pharmacy is an health care organization with primary practice located at 5999 Burke Commons Rd 4Th Floor, Burke VA 22015-2880. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc. can be contacted via phone (703) 249-7750, or through Petersen, Deanne G via phone (301) 816-5760.

Contact Information

Primary practice address
5999 Burke Commons Rd 4Th Floor Burke VA 22015-2880
Phone: (703) 249-7750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Deanne G
Phone: (301) 816-5760

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1164597019
LBN Legal business name Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc.
DBA Doing business as Kaiser Permanente Burke Admixture Pharmacy
Authorized official Petersen, Deanne G
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 22nd, 2006
Last updated May 26th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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