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Organization
MEDSTAR PHARMACIES INC
Active
Organization
MEDSTAR PHARMACIES INC
Active
Other names
MedStar Pharmacy at Georgetown University Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SARACINO (MANAGER, ADMINISTRATIVE SERVICES)
(410) 540-4492
Entity
Organization
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3772
(202) 444-6476
Mailing address
PO BOX 418869, BOSTON, MA 02241-8869
(410) 540-4492
(410) 579-8264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
RX1200014
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059338500
—
DC
01
—
2125130
PK
—
05
—
510471800
—
MD
Enumeration date
02/06/2007
Last updated
02/16/2017
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