Provider Demographics
NPI:1194547463
Name:DUONG, PHUONG HANG THI (PHARMD)
Entity type:Individual
Prefix:
First Name:PHUONG HANG THI
Middle Name:
Last Name:DUONG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8465 FOUNDRY ST
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20763-9645
Mailing Address - Country:US
Mailing Address - Phone:410-440-8020
Mailing Address - Fax:
Practice Address - Street 1:8465 FOUNDRY ST
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MD
Practice Address - Zip Code:20763-9645
Practice Address - Country:US
Practice Address - Phone:410-440-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30105183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist