| NPI | 1750324083 |
|---|---|
| Doing Business As | GW MEDICAL FACULTY ASSOCIATES PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RYAN MOUTON Executive Director 202-741-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DC RX0000301) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2023-08-31 |