Individual
DR. QUOCBAO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
1500 FOREST GLEN RD, SILVER SPRING, MD 20910-1483
(301) 754-7126
Mailing address
2401 KANSAS AVE, SILVER SPRING, MD 20910-1954
(301) 518-8514
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
16407
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16407
PHARMACY LICENSE
MD
01
—
P-500-723-015-866
DRIVER'S LICENSE
MD
Enumeration date
02/28/2007
Last updated
07/08/2007
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