MEDICARE: PHAMILY PHARMACY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	3336C0004X	Compounding Pharmacy
2	3336S0011X	Specialty Pharmacy
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0903408	OTHER	DC	NABP
2	RX9400241	OTHER	DC	STATE LICENSE

General Provider Information

NPI Number	:	1871701920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHAMILY PHARMACY

Provider Business Mailing Address
First Line	:	6323 GEORGIA AVE NW
Second Line	:	SUITE 100
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1101
Country	:	US
Telephone Number	:	202-722-0171
Fax Number	:	202-722-7580

Provider Business Practice Location Address
First Line	:	6323 GEORGIA AVE NW STE 100
Second Line	:	SUITE 100
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1137
Country	:	US
Telephone Number	:	202-722-0171
Fax Number	:	202-722-7580

Authorized Official
Title or Position	:	PHARMACIST OWNER
Name	:	GIDEON AKUNJI
Credential	:
Telephone Number	:	202-722-0171

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/16/2008

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Directions to “PHAMILY PHARMACY ” Practice Location

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