| NPI | 1295292944 |
|---|---|
| Other Name | 35 K STREET PHARMACY DC DBH/MENTAL HEALTH SERVICE DIVISION |
| Entity Type | Organization |
| Authorized Contact | TAMISHA NICOLE KELLY SMITH Medicaid Eligibility Comp. Officer 202-671-3206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |