# MORTON 8TH ST PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Morton 8th St Pharmacy llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487107983
- **Authorized official:** ANGELINE GAKUYA (PHARMACIST)
- **Authorized official phone:** (202) 547-0378

## Contact information

- **Practice address:** 724 E CAPITOL ST NE, WASHINGTON, DC 20003-1344
- **Practice address phone:** (202) 547-0403
- **Practice address fax:** (202) 546-0467
- **Mailing address:** 14371 BEAKER CT, BURTONSVILLE, MD 20866-2050
- **Mailing address phone:** (202) 547-0378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | RX0000106 | DC | Yes |
| 3336M0003X | Managed Care Organization Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 08/01/2016
- **Last updated:** 10/10/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2162395 | PK | — |