Organization
H STREET PHARMACY AND WELLNESS CENTER LLC
Active
Other names
H STREET PHARMACY AND WELLNESS CENTER LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
KAPIAMBA MUTEBA (PHARMACIST/OWNER)
(301) 404-6067
Entity
Organization
Contact information
Practice address
812 H ST NE, WASHINGTON, DC 20002-3629
(202) 621-9665
(202) 621-9703
Mailing address
812 H ST NE, WASHINGTON, DC 20002-3629
(202) 621-9665
(202) 621-9703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RX1000420
DC
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056757900
—
DC
01
—
2124002
PK
—
Enumeration date
03/01/2010
Last updated
07/16/2015
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