Basic Information
Provider Information
NPI: 1861471294
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOW
FirstName: MUYING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: PHARMACIST
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11420 STRAND DR
Address2: #214
City: ROCKVILLE
State: MD
PostalCode: 208522939
CountryCode: US
TelephoneNumber: 3018162864
FaxNumber:  
Practice Location
Address1: 8901 WISCONSIN AVE
Address2: PHARMACY DEPT
City: BETHESDA
State: MD
PostalCode: 208890001
CountryCode: US
TelephoneNumber: 3012952120
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/13/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X15482MAY Pharmacy Service ProvidersPharmacist 

No ID Information.


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