Provider Demographics
NPI:1447902481
Name:KIEU, QUYEN GIANG (PHARMD)
Entity type:Individual
Prefix:
First Name:QUYEN
Middle Name:GIANG
Last Name:KIEU
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 1:23213 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-9363
Mailing Address - Country:US
Mailing Address - Phone:240-912-4318
Mailing Address - Fax:
Practice Address - Street 1:23213 STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871-9363
Practice Address - Country:US
Practice Address - Phone:240-912-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist