Provider Demographics
NPI:1700945466
Name:SEAT PLEASANT DRUGS INC
Entity Type:Organization
Organization Name:SEAT PLEASANT DRUGS INC
Other - Org Name:SEAT PLEASANT DRUGS INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHARMACIST IN CHARGE/ PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BANWO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:202-396-9400
Mailing Address - Street 1:354 EASTERN AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2833
Mailing Address - Country:US
Mailing Address - Phone:202-396-3400
Mailing Address - Fax:202-396-0085
Practice Address - Street 1:354 EASTERN AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-2833
Practice Address - Country:US
Practice Address - Phone:202-396-3400
Practice Address - Fax:202-396-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC025923500Medicaid
MD192638100Medicaid
MD0557320001Medicare NSC
MD192638100Medicaid