Individual
DIVIVIAN JEROME-MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-1005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH100001013
DC
Other
Enumeration date
07/09/2013
Last updated
07/17/2014
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