Thanh Thanh Du Rustaman PHARM.D.

NPI 1083900369 - Pharmacist - 183500000X

NPI Details
NPI 1083900369
Gender Female
Enumeration Date 06/24/2011
Last Updated 06/24/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5700 BOU AVENUE
ROCKVILLE MD, 20852, US
Phone (301) 945-0019
Fax (301) 945-0019
Business Location
12738 GRAND ELM ST
CLARKSBURG MD, 20871-4452, US
Phone (301) 515-8070
Fax
Toxanomy
Taxonomy Code 183500000X
License State Maryland
License Number 16244
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According to our database, Mrs. Thanh Thanh Du Rustaman PHARM.D. NPI is 1083900369, taxonomy code is 183500000X and license number is 16244, license state is located at Maryland. Thanh Thanh Du Rustaman PHARM.D. physically located at 5700 Bou Avenue, Rockville MD, 20852. NPI Number Thanh Thanh Du Rustaman PHARM.D. has the Individual type.

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1083900369 NPI number is provided on an as is basis without warranty of any kind. 1083900369 is maintained by the National Plan & Provider Enumeration System. The contents of Thanh Thanh Du Rustaman PHARM.D. are for informational purposes only.