Provider Demographics
NPI:1699076570
Name:LA, HONGLY THI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HONGLY
Middle Name:THI
Last Name:LA
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 1:14101 DARNESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3009
Mailing Address - Country:US
Mailing Address - Phone:240-631-9629
Mailing Address - Fax:240-631-1310
Practice Address - Street 1:14101 DARNESTOWN RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-3009
Practice Address - Country:US
Practice Address - Phone:240-631-9629
Practice Address - Fax:240-631-1310
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17927183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist