MEDICARE: FLEX CARE PHARMACY

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
2	333600000X	Pharmacy

General Provider Information

NPI Number	:	1033413976
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLEX CARE PHARMACY

Provider Business Mailing Address
First Line	:	3861 ALABAMA AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1001
Country	:	US
Telephone Number	:	202-575-0578
Fax Number	:

Provider Business Practice Location Address
First Line	:	3861 ALABAMA AVE SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1001
Country	:	US
Telephone Number	:	240-223-7064
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. FELIX EGAN AYUK
Credential	:
Telephone Number	:	202-575-0578

Provider Enumeration Date	:	01/07/2011
Last Update Date	:	07/19/2012

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Directions to “FLEX CARE PHARMACY ” Practice Location

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