Provider First Line Business Practice Location Address:
2041 GEORGIA AVE NW
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PHARMACY SERVICES SUITE BB-06
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
DC
Provider Business Practice Location Address Postal Code:
20060-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-256-5101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/16/2013