Provider Demographics
NPI:1811397003
Name:ZHAO, ZHONGYUAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ZHONGYUAN
Middle Name:
Last Name:ZHAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 BRICKYARD RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4811
Mailing Address - Country:US
Mailing Address - Phone:717-253-4267
Mailing Address - Fax:
Practice Address - Street 1:1418 P ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-1908
Practice Address - Country:US
Practice Address - Phone:202-939-5735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH100001792183500000X
MD22565183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist