Provider Demographics
NPI:1760573786
Name:WASHINGTON, TERRILL GLENN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:TERRILL
Middle Name:GLENN
Last Name:WASHINGTON
Suffix:
Gender:M
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 1:3324 HAMPTON POINT DR APT C
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-6125
Mailing Address - Country:US
Mailing Address - Phone:301-890-5039
Mailing Address - Fax:
Practice Address - Street 1:50 IRVING ST NW # 119
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20422-0001
Practice Address - Country:US
Practice Address - Phone:202-745-8233
Practice Address - Fax:202-745-8639
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH2097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist