# PRIME, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** sterling pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669541777
- **Authorized official:** MR. OMOLOLU ABIMBOLA FATUKASI R. PH (PHARMACY MANAGER)
- **Authorized official phone:** (202) 399-7876

## Contact information

- **Practice address:** 1647 BENNING RD NE, STE 101, WASHINGTON, DC 20002-4569
- **Practice address phone:** (202) 399-7876
- **Practice address fax:** (202) 388-3157
- **Mailing address:** 1647 BENNING RD NE, STE 101, WASHINGTON, DC 20002-4569
- **Mailing address phone:** (202) 399-7876
- **Mailing address fax:** (202) 388-3157

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RX0200323 | DC | Yes |

## Other

- **Enumeration date:** 11/06/2006
- **Last updated:** 02/14/2008