# GOODCARE PHARMACY 11 INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOODCARE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831398775
- **Authorized official:** VIVIAN ADEGHE (COO)
- **Authorized official phone:** (202) 561-4343

## Contact information

- **Practice address:** 1328 SOUTHERN AVE SE, WASHINGTON, DC 20032-4689
- **Practice address phone:** (202) 574-6088
- **Practice address fax:** (202) 563-3133
- **Mailing address:** 1328 SOUTHERN AVE SE, WASHINGTON, DC 20032-4689
- **Mailing address phone:** (202) 574-6088
- **Mailing address fax:** (202) 563-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RX0700351 | DC | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 02/20/2012
