Provider Demographics
NPI:1124620489
Name:ESTRADA, DINH CHEN (PHARM D)
Entity type:Individual
Prefix:
First Name:DINH
Middle Name:CHEN
Last Name:ESTRADA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:DINH
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18250 FLOWER HILL WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-5300
Mailing Address - Country:US
Mailing Address - Phone:301-948-1198
Mailing Address - Fax:
Practice Address - Street 1:18250 FLOWER HILL WAY
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-5300
Practice Address - Country:US
Practice Address - Phone:301-948-1198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17242183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist