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NPI Code Detail

MEDICARE: ANNIE PHUNG

MEDICARE: ANNIE PHUNG
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
1183500000XPharmacist21852MD

General Provider Information

NPI Number : 1295134427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE PHUNG
Provider Business Mailing Address
First Line : 1905 MIDDLEBRIDGE DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20906-5821
Country : US
Telephone Number : 301-448-2566
Fax Number :
Provider Business Practice Location Address
First Line : 9420 LANHAM SEVERN RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-2642
Country : US
Telephone Number : 301-577-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2014
Last Update Date : 08/13/2014

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Directions to “ ANNIE PHUNG ” Practice Location

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