Organization
MORTON 8TH ST PHARMACY
Active
Other names
Morton 8th St Pharmacy llc
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINE GAKUYA (PHARMACIST)
(202) 547-0378
Entity
Organization
Contact information
Practice address
724 E CAPITOL ST NE, WASHINGTON, DC 20003-1344
(202) 547-0403
(202) 546-0467
Mailing address
14371 BEAKER CT, BURTONSVILLE, MD 20866-2050
(202) 547-0378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RX0000106
DC
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162395
PK
—
Enumeration date
08/01/2016
Last updated
10/10/2016
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