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Organization
BELLEVUE PHARMACY LLC
Active
Organization
BELLEVUE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAPIAMBA MUTEBA (OWNER)
(301) 404-6067
Entity
Organization
Contact information
Practice address
3939 S CAPITOL ST SW, WASHINGTON, DC 20032-2308
(202) 629-4221
(202) 629-4592
Mailing address
3939 S CAPITOL ST SW, SUITE C1, WASHINGTON, DC 20032-2308
(301) 404-6067
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336C0004X
Compounding Pharmacy
—
NULL
3336M0002X
Mail Order Pharmacy
—
NULL
Other
Enumeration date
06/20/2016
Last updated
08/05/2019
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