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Organization

FORT LINCOLN PHARMACY & MEDICAL EQUIPMENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENOCK ADEWUYI (PRESIDENT)
(202) 269-0000
Entity
Organization

Contact information

Practice address
3180 BLADENSBURG RD. N.E., WASHINGTON, DC 20018
(202) 269-0000
(202) 269-0100
Mailing address
3180 BLADENSBURG RD. N.E., WASHINGTON, DC 20018
(202) 269-0000
(202) 269-0100

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RX1200023
DC

Other

Enumeration date
12/03/2012
Last updated
12/03/2012
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