State Pharmacy in Se Washington - Community/retail Pharmacy
State Pharmacy - NPI 1205961489
State Pharmacy is a Community/retail Pharmacy in Se Washington, District Of Columbia. State Pharmacy practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for State Pharmacy is 1205961489. The last update date is 2020-12-01.
State Pharmacy's current location address is 2041 Martin Luther King Ave, Se Washington, District Of Columbia. You can contact this provider via phone number 2026102100 and fax number 2026101078. The mailing address for State Pharmacy is 2041 Martin Luther King Ave, Se Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Pharmacy |
|---|---|
| Address | 2041 Martin Luther King Ave, Se Washington, District Of Columbia |
| Phone Number | 2026102100 |
| Fax Number | 2026101078 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bibum Nkinang Marie |
| Credentials | PHARM D |
| Telephone Number | 2026102100 |
NPI Number Detail
| NPI Number | 1205961489 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2020-12-01 |
Provider Mailing Address Detail
| Address | 2041 Martin Luther King Ave |
|---|---|
| City | Se Washington |
| State | District Of Columbia (DC) |
| Post Code | 20020 |
| Phone Number | 2026102100 |
| Fax Number | 2026101078 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | RX0300330 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34828700 | DC | -- | |
| 35360800 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to State Pharmacy by the Centers for Medicare & Medicaid Services?
The State Pharmacy has been assigned the NPI (National Provider Identifier) 1205961489 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where State Pharmacy's facilities are geographically located?
The facilities of State Pharmacy are physically situated at the following location: 2041 Martin Luther King Ave, Se Washington, DC, 20020.
What is State Pharmacy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for State Pharmacy is Community/retail Pharmacy, and the corresponding taxonomy classification code for this specialized field is 3336C0003X.
On what date did the State Pharmacy receive the assignment of its 1205961489 from the Centers for Medicare & Medicaid Services?
The State Pharmacy was issued its 1205961489 by the Centers for Medicare & Medicaid Services on 2007-02-21.
As of what date was the information pertaining to State Pharmacy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to State Pharmacy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-12-01.