Individual
LAI QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 VILLAGE CENTER DR, LUSBY, MD 20657-6531
(410) 394-3711
Mailing address
210 VILLAGE CENTER DR, LUSBY, MD 20657-6531
(410) 394-3711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27598
MD
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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