Provider Demographics
NPI:1790001402
Name:PHARMACARE AT DC, LLC
Entity Type:Organization
Organization Name:PHARMACARE AT DC, LLC
Other - Org Name:PHARMACARE DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:REDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANNAPPAREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-616-6500
Mailing Address - Street 1:651 FLORIDA AVE NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-1875
Mailing Address - Country:US
Mailing Address - Phone:443-616-6500
Mailing Address - Fax:202-387-1800
Practice Address - Street 1:651 FLORIDA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-1875
Practice Address - Country:US
Practice Address - Phone:443-616-6500
Practice Address - Fax:202-387-1800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRX10004213336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy