Provider Demographics
NPI:1932290442
Name:BAUGH, DENISE VICTORIA (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:VICTORIA
Last Name:BAUGH
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12401 HALLBRIGHT DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3733
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-262-9446
Practice Address - Street 1:12401 HALLBRIGHT DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3733
Practice Address - Country:US
Practice Address - Phone:301-262-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD109391835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy