Healthcare Provider Details

I. General information

NPI: 1407695844
Provider Name (Legal Business Name): RICHARD HON CHING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 NATIONAL HWY
LAVALE MD
21502-7603
US

IV. Provider business mailing address

12454 FOREMAN BLVD
CLARKSBURG MD
20871-4045
US

V. Phone/Fax

Practice location:
  • Phone: 301-729-1004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number29517
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: