Provider Demographics
NPI:1922594779
Name:JIANG, ALICE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:
Last Name:JIANG
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 MCGRATH BLVD APT 307
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-8656
Mailing Address - Country:US
Mailing Address - Phone:240-751-3515
Mailing Address - Fax:
Practice Address - Street 1:5401 MCGRATH BLVD APT 307
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-8656
Practice Address - Country:US
Practice Address - Phone:240-751-3515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27932183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist