Provider Demographics
NPI:1942809371
Name:QUACH, KAYLIN P (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KAYLIN
Middle Name:P
Last Name:QUACH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 S GLEBE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-2379
Mailing Address - Country:US
Mailing Address - Phone:703-412-9144
Mailing Address - Fax:703-412-9474
Practice Address - Street 1:3600 S GLEBE RD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22202-2379
Practice Address - Country:US
Practice Address - Phone:703-412-9144
Practice Address - Fax:703-412-9474
Is Sole Proprietor?:No
Enumeration Date:2020-10-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202216796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist