Organization
GOOD CARE PHARMACY INC
Active
Other names
Good Care Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN ADEGHE (OWNER/DIRECTOR)
(202) 561-4343
Entity
Organization
Contact information
Practice address
2910 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2522
(202) 561-4343
(202) 561-5061
Mailing address
2910 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2522
(202) 561-4343
(202) 561-5061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RX1200005
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036860100
—
DC
01
—
2005928
PK
—
Enumeration date
08/10/2006
Last updated
12/09/2016
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