STATE PHARMACY
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1205961489- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2041 MARTIN LUTHER KING AVE SUITE 100, SE WASHINGTON, DC, 20020
- Phone
- (202) 610-2100
- Fax
- (202) 610-1078
Specialties & Taxonomies
Durable Medical Equipment & Medical Supplies
License: DC #rx0300330
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy, Community/Retail Pharmacy
Primary License: DC #RX0300330