Gw Medical Faculty Associates Pharmacy

LBN: Medical Faculty Associates Inc
Gw Medical Faculty Associates Pharmacy is an health care organization with primary practice located at 2150 Pennsylvania Ave Nw # G201, Washington DC 20037-3201. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medical Faculty Associates Inc can be contacted via phone (202) 741-3600, or through Mouton, Ryan via phone (202) 741-2218.

Contact Information

Primary practice address
2150 Pennsylvania Ave Nw # G201 Washington DC 20037-3201
Phone: (202) 741-3600
Fax: (202) 741-3606
Website:
Map and Directions
Authorized official contact:
Name: Mouton, Ryan PHARM. D.
Phone: (202) 741-2218

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X RX0000301 District of Columbia
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1750324083
LBN Legal business name Medical Faculty Associates Inc
DBA Doing business as Gw Medical Faculty Associates Pharmacy
Authorized official Mouton, Ryan PHARM. D.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 31st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750324083 NPPES
Other 2004579 PK
MEDICAID 0911970 PK

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