Healthcare Provider Details

I. General information

NPI: 1417868563
Provider Name (Legal Business Name): LAURA SOON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7373 WISCONSIN AVE STE 910
BETHESDA MD
20814-3895
US

IV. Provider business mailing address

14300 CERVANTES AVE
GERMANTOWN MD
20874-3352
US

V. Phone/Fax

Practice location:
  • Phone: 877-846-3397
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30570
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: