Tysons Corner Medical Center Pharmacy

LBN: Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
Tysons Corner Medical Center Pharmacy is an health care organization with primary practice located at 8008 Westpark Dr , Mc Lean VA 22102-3109. The organization recently has only one registered license in Suppliers / Managed Care Organization Pharmacy, which is considered as the primary health care specialty. Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc can be contacted via phone (703) 490-8400, or through Petersen, Deanne G via phone (301) 816-5760.

Contact Information

Primary practice address
8008 Westpark Dr Mc Lean VA 22102-3109
Phone: (703) 490-8400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Deanne G
Phone: (301) 816-5760

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1700159035
LBN Legal business name Kaiser Foundation Health Plan Of The Mid-Atlantic States, Inc
DBA Doing business as Tysons Corner Medical Center Pharmacy
Authorized official Petersen, Deanne G
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 16th, 2012
Last updated May 27th, 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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