Organization
MARIE'S MAIL ORDER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PUWO KUEMETA PHARMD (PHARMACIST)
(202) 450-1678
Entity
Organization
Contact information
Practice address
824 BLADENSBURG RD NE, WASHINGTON, DC 20002-3928
(202) 450-1678
Mailing address
824 BLADENSBURG RD NE, WASHINGTON, DC 20002-3928
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
12/06/2022
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