=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023406642
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANET YEONHEE LIM PHARMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2015
-----------------------------------------------------
Last Update Date | 11/18/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10141 COLESVILLE RD
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20901-2457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-593-5252
-----------------------------------------------------
Fax | 301-593-7185
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10141 COLESVILLE RD
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20901-2457
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-593-5252
-----------------------------------------------------
Fax | 301-593-7185
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 22875
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------