Provider Demographics
NPI:1023851698
Name:MEDICAL FACULTY ASSOCIATES INC
Entity type:Organization
Organization Name:MEDICAL FACULTY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-741-3372
Mailing Address - Street 1:2150 PENNSYLVANIA AVE NW # G-201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-3201
Mailing Address - Country:US
Mailing Address - Phone:202-741-3600
Mailing Address - Fax:
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW # G-201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy