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Organization
MORTON 8TH ST PHARMACY
Active
Organization
MORTON 8TH ST PHARMACY
Active
Other names
Morton 8th St Pharmacy llc
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINE GAKUYA (PHARMACIST)
(202) 547-0378
Entity
Organization
Contact information
Practice address
724 E CAPITOL ST NE, WASHINGTON, DC 20003-1344
(202) 547-0403
(202) 546-0467
Mailing address
14371 BEAKER CT, BURTONSVILLE, MD 20866-2050
(202) 547-0378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RX0000106
DC
3336M0003X
Managed Care Organization Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162395
PK
—
Enumeration date
08/01/2016
Last updated
10/10/2016
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