Organization
ALEX PHARM LLC
Active
Other names
PALISADES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR MISAK RPH (OWNER & PIC)
(202) 362-0004
Entity
Organization
Contact information
Practice address
5185 MACARTHUR BLVD NW # 107, WASHINGTON, DC 20016-3341
(202) 362-0004
(202) 362-0006
Mailing address
5185 MACARTHUR BLVD NW # 107, WASHINGTON, DC 20016-3341
(202) 362-0004
(202) 362-0006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RX0000068
DC
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097080400
—
DC
01
—
2147432
PK
—
Enumeration date
03/24/2014
Last updated
07/19/2018
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