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Organization

D.C. DEPARTMENT OF BEHAVIORAL HEALTH

Active
Parent organization
GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE
Other names
35 K Street Pharmacy DC DBH/Mental Health Service Division
Organization subpart
Yes

Provider details

NPI number
Legal business name
GOVERNMENT OF THE DISTRICT OF COLUMBIA OFFICE OF TAX AND REVENUE
Authorized official
TAMISHA NICOLE KELLY SMITH (MEDICAID ELIGIBILITY COMP. OFFICER)
(202) 671-3206
Entity
Organization

Contact information

Practice address
35 K ST NE, WASHINGTON, DC 20002-4216
(202) 671-3206
Mailing address
64 NEW YORK AVE NE FL E2, WASHINGTON, DC 20002-3320
(202) 671-3206

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary

Other

Enumeration date
02/28/2019
Last updated
02/28/2019
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