State Pharmacy
LBN: State Pharmacy
State Pharmacy is an health care organization with primary practice located at 2041 Martin Luther King Ave Suite 100, Se Washington DC 20020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
State Pharmacy can be contacted via phone (202) 610-2100, or through Bibum, Marie Nkinang via phone (202) 610-2100.
Contact Information
Primary practice address
2041 Martin Luther King Ave Suite 100
Se Washington DC 20020
Phone: (202) 610-2100
Fax: (202) 610-1078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | RX0300330 | District of Columbia |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | RX0300330 | District of Columbia |
Profile Details
| NPI number | 1205961489 |
|---|---|
| LBN Legal business name | State Pharmacy |
| DBA Doing business as | |
| Authorized official | Bibum, Marie Nkinang PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Dec 1st, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205961489 | NPPES |
| District of Columbia | MEDICAID | 034828700 | |
| District of Columbia | MEDICAID | 035360800 |
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