# H STREET PHARMACY AND WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** H STREET PHARMACY AND WELLNESS CENTER LLC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710200068
- **Authorized official:** KAPIAMBA MUTEBA (PHARMACIST/OWNER)
- **Authorized official phone:** (301) 404-6067

## Contact information

- **Practice address:** 812 H ST NE, WASHINGTON, DC 20002-3629
- **Practice address phone:** (202) 621-9665
- **Practice address fax:** (202) 621-9703
- **Mailing address:** 812 H ST NE, WASHINGTON, DC 20002-3629
- **Mailing address phone:** (202) 621-9665
- **Mailing address fax:** (202) 621-9703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RX1000420 | DC | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/01/2010
- **Last updated:** 07/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 056757900 | — | DC |
| 01 | — | 2124002 | PK | — |