MEDICARE: ALPHA DRUGS LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972734572
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA DRUGS LLC

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

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. PANAGIOTIS METAXOTOS
Credential	:	R.PH
Telephone Number	:	202-265-7979

Provider Enumeration Date	:	07/30/2009
Last Update Date	:	07/30/2009

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Directions to “ALPHA DRUGS LLC ” Practice Location

Language	Start Address	Practice Location

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