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Individual

SHAN XING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
10410 KENSINGTON PKWY, KENSINGTON, MD 20895-2943
(301) 929-3634
Mailing address
10410 KENSINGTON PKWY, KENSINGTON, MD 20895-2943

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202208359
VA
183500000X
Pharmacist
Primary
19175
MD
183500000X
Pharmacist
PH60000820
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202208359
VA PHARMACY LICENSE
VA
01
19175
MARYLAND PHARMACY LICENSE
MD
01
PH60000820
WA PHARMACY LICENSE
WA
Enumeration date
06/17/2011
Last updated
06/17/2011
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