Organization
PRIME, INC
Active
Other names
sterling pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMOLOLU ABIMBOLA FATUKASI R. PH (PHARMACY MANAGER)
(202) 399-7876
Entity
Organization
Contact information
Practice address
1647 BENNING RD NE, STE 101, WASHINGTON, DC 20002-4569
(202) 399-7876
(202) 388-3157
Mailing address
1647 BENNING RD NE, STE 101, WASHINGTON, DC 20002-4569
(202) 399-7876
(202) 388-3157
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RX0200323
DC
Other
Enumeration date
11/06/2006
Last updated
02/14/2008
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