Organization
CENTRAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLACE KIGOTHO (PHARMACIST/OWNER)
(202) 704-6508
Entity
Organization
Contact information
Practice address
2202 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5725
(202) 704-6508
Mailing address
2202 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5725
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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