Provider Demographics
NPI:1417097403
Name:YOUNGER, DEIRDRE A (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEIRDRE
Middle Name:A
Last Name:YOUNGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BLDG 140 CAMPUS DRIVE
Mailing Address - Street 2:UNIVERSITY OF MARYLAND UNIVERSITY HEALTH CENTER
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742
Mailing Address - Country:US
Mailing Address - Phone:301-314-9686
Mailing Address - Fax:301-314-3677
Practice Address - Street 1:BLDG 140 CAMPUS DRIVE
Practice Address - Street 2:UNIVERSITY OF MARYLAND UNIVERSITY HEALTH CENTER
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742
Practice Address - Country:US
Practice Address - Phone:301-314-9686
Practice Address - Fax:301-314-3677
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09985183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist