Provider Demographics
NPI:1407021736
Name:ASONG, QUINTA N (PHARM D)
Entity Type:Individual
Prefix:
First Name:QUINTA
Middle Name:N
Last Name:ASONG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 METZEROTT RD
Mailing Address - Street 2:#707
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-3475
Mailing Address - Country:US
Mailing Address - Phone:301-445-1425
Mailing Address - Fax:
Practice Address - Street 1:1836 METZEROTT RD
Practice Address - Street 2:#707
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783
Practice Address - Country:US
Practice Address - Phone:301-445-1425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100000203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist