Organization
GOODCARE PHARMACY 11 INC.
Active
Other names
GOODCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN ADEGHE (COO)
(202) 561-4343
Entity
Organization
Contact information
Practice address
1328 SOUTHERN AVE SE, WASHINGTON, DC 20032-4689
(202) 574-6088
(202) 563-3133
Mailing address
1328 SOUTHERN AVE SE, WASHINGTON, DC 20032-4689
(202) 574-6088
(202) 563-3133
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RX0700351
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0904474
NCPDP
—
Enumeration date
07/11/2007
Last updated
02/20/2012
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