Organization
CARDOZO PHARMACY LLC
Active
Other names
Cardozo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MARTIN (PHARMACIST)
(202) 316-7293
Entity
Organization
Contact information
Practice address
2701 14TH ST NW, WASHINGTON, DC 20009-6994
(202) 986-4590
(202) 986-4595
Mailing address
2701 14TH ST NW, WASHINGTON, DC 20009-6994
(202) 986-4590
(202) 986-4595
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RX1100435
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069740500
—
DC
01
—
0904878
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/29/2012
Last updated
09/18/2012
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