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Organization
PRIME, INC
Active
Organization
PRIME, INC
Active
Other names
sterling pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMOLOLU ABIMBOLA FATUKASI R. PH (PHARMACY MANAGER)
(202) 399-7876
Entity
Organization
Contact information
Practice address
1647 BENNING RD NE, STE 101, WASHINGTON, DC 20002-4569
(202) 399-7876
(202) 388-3157
Mailing address
1647 BENNING RD NE, STE 101, WASHINGTON, DC 20002-4569
(202) 399-7876
(202) 388-3157
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RX0200323
DC
Other
Enumeration date
11/06/2006
Last updated
02/14/2008
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