MEDICARE: GREGORINA ALTAGRACIA CAMPUSANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH100000807	DC
2	183500000X	Pharmacist	17085	MD

General Provider Information

NPI Number	:	1124303201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORINA ALTAGRACIA CAMPUSANO

Provider Business Mailing Address
First Line	:	2931 11TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20001-3903
Country	:	US
Telephone Number	:	202-714-4488
Fax Number	:

Provider Business Practice Location Address
First Line	:	3524 CONNECTICUT AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20008-2401
Country	:	US
Telephone Number	:	202-686-6927
Fax Number	:	202-686-3870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2011
Last Update Date	:	10/20/2011

Similar Medicare Providers

1285469239 — ANGELA NICOLE DAVINI DPT, PT
Practice Location Address:

3508 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-897-3890
Practice Fax:

1376780197 — DR. LAURA A. W. MUHAMMAD D.D.S.
Practice Location Address:

2401 CALVERT ST NW APT 106
WASHINGTON, DC
20008-2655

Practice Phone: 202-462-7676
Practice Fax:

1710110176 — WALGREEN CO
Practice Location Address:

3524 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-686-6927
Practice Fax:

1689958233 — DR. MARTHA CARLE ANDERSON PHARMD
Practice Location Address:

3524 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-686-6927
Practice Fax: 202-686-3870

1245732924 — PROFESSIONAL SPORTSCARE & REHAB, LLC
Practice Location Address:

3508 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 202-897-3890
Practice Fax:

1679069876 — TIMOTHY ECKERT
Practice Location Address:

3508 CONNECTICUT AVE NW
WASHINGTON, DC
20008-2401

Practice Phone: 389-020-2897
Practice Fax:

Directions to “ GREGORINA ALTAGRACIA CAMPUSANO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.