Provider Demographics
NPI:1518347111
Name:DUNLAP, NOREEN DEBRA (RPH)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:DEBRA
Last Name:DUNLAP
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 1:9808 SANDPIPER DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4763
Mailing Address - Country:US
Mailing Address - Phone:301-856-7630
Mailing Address - Fax:
Practice Address - Street 1:9808 SANDPIPER DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4763
Practice Address - Country:US
Practice Address - Phone:301-856-7630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13507183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist