State Pharmacy
State Pharmacy is a Durable Medical Equipment & Medical Supplies in SE Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2007.
- Licensed in
- DC
- In the registry since
- 2007
- Specialties on file
- 4
Practice location Address checks out
2041 Martin Luther King Ave Ste 100SE Washington, DC 20020
Phone: (202) 610-2100
Fax: (202) 610-1078
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence RX0300330 (DC) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence RX0300330 (DC) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1205961489 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marie Bibum — President · (202) 610-2100 |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | December 1, 2020 |
| Certification date | December 1, 2020 |
| Mailing address | 2041 Martin Luther King Ave, Suite 100, Se Washington, DC 20020 |