MEDICARE: ALPHA CARE PHARMACY INC

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1811433378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	1638 R ST NW
Second Line	:	SUITE 1
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6446
Country	:	US
Telephone Number	:	202-265-7979
Fax Number	:	202-265-0588

Provider Business Practice Location Address
First Line	:	1638 R ST NW
Second Line	:	SUITE 1
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6446
Country	:	US
Telephone Number	:	202-265-7979
Fax Number	:	202-265-0588

Authorized Official
Title or Position	:	CEO
Name	:	JAN V HERMINA
Credential	:
Telephone Number	:	202-265-7979

Provider Enumeration Date	:	01/09/2017
Last Update Date	:	12/27/2022

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Directions to “ALPHA CARE PHARMACY INC ” Practice Location

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