Individual
PHONG D DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11 RICKOVER CT, ANNAPOLIS, MD 21401-3237
(443) 454-0996
Mailing address
11 RICKOVER CT, ANNAPOLIS, MD 21401-3237
(443) 454-0996
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17257
MD
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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