MEDICARE: DR. JOAN M PHILLIPS PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	20226	MD

General Provider Information

NPI Number	:	1841774650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN M PHILLIPS PHARM.D.

Provider Business Mailing Address
First Line	:	359 BUENA VISTA AVE
Second Line	:
City	:	ARNOLD
State	:	MD
Zip	:	21012-1550
Country	:	US
Telephone Number	:	206-355-3259
Fax Number	:

Provider Business Practice Location Address
First Line	:	4611 ASSEMBLY DR STE H
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-4841
Country	:	US
Telephone Number	:	410-789-8454
Fax Number	:	410-789-8456

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	06/25/2024

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