Amy Cheng Luo, PHARM.D.

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · North Potomac, MD

NPI 1336431022 · NPPES record last updated May 12, 2011

Key facts

NPI
1336431022
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
ST03386 (MD)
Practice address
2 Outpost CT
North Potomac, MD 20878-4353
Phone
(240) 888-6251
NPI assigned
May 12, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
ST03386MDMDStudent in an Organized Health Care Education/Training Program

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ST03386 MD Yes

Addresses

Primary practice location

2 Outpost CT
North Potomac, MD 20878-4353

Mailing address

2 Outpost CT
North Potomac, MD 20878-4353
Phone (240) 888-6251

Other providers in North Potomac, MD

All providers in North Potomac, MD · Student in an Organized Health Care Education/Training Program in Maryland

Sources for this page

Verify at the official NPI Registry.