Organization
MEDSTAR PHARMACIES INC
Active
Other names
MedStar Pharmacy at Georgetown University Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JOE SARACINO (MANAGER, ADMINISTRATIVE SERVICES)
(410) 540-4492
Entity
Organization
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3772
(202) 444-6476
Mailing address
PO BOX 418869, BOSTON, MA 02241-8869
(410) 540-4492
(410) 579-8264
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RX1200014
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059338500
—
DC
01
—
2125130
PK
—
05
—
510471800
—
MD
Enumeration date
02/06/2007
Last updated
02/16/2017
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