Individual
MS. QUINN MONG DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1003 W BROAD ST, FALLS CHURCH, VA 22046-4610
(703) 241-5031
(703) 241-5037
Mailing address
9959 E HILL DR, LORTON, VA 22079-2431
(214) 923-3061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209627
VA
1835P2201X
Ambulatory Care Pharmacist
0202209627
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37232
STATE PHARMACIST LICENSE
TX
Enumeration date
04/08/2011
Last updated
11/26/2018
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