Healthcare Provider Details

I. General information

NPI: 1134948482
Provider Name (Legal Business Name): THELMA FALANA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2024
Last Update Date: 10/04/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 LANHAM SEVERN RD
LANHAM MD
20706-2642
US

IV. Provider business mailing address

6907 HEIDELBURG RD
LANHAM MD
20706-4602
US

V. Phone/Fax

Practice location:
  • Phone: 301-577-5555
  • Fax:
Mailing address:
  • Phone: 301-633-3006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30020
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: