Provider Demographics
NPI:1245389345
Name:MOUNT PLEASANT CARE PHARMACY
Entity Type:Organization
Organization Name:MOUNT PLEASANT CARE PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MEER
Authorized Official - Middle Name:H
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:202-387-3100
Mailing Address - Street 1:3169 MOUNT PLEASANT ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3169 MOUNT PLEASANT ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2709
Practice Address - Country:US
Practice Address - Phone:202-387-3100
Practice Address - Fax:202-387-2435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRX8800017333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC017035300Medicaid