Provider Demographics
NPI:1174590129
Name:BINGHAY, MARY CAROLINE (PHARMD)
Entity type:Individual
Prefix:MISS
First Name:MARY
Middle Name:CAROLINE
Last Name:BINGHAY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4808 MOORLAND LN
Mailing Address - Street 2:# 510
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-6110
Mailing Address - Country:US
Mailing Address - Phone:301-986-5202
Mailing Address - Fax:301-217-5305
Practice Address - Street 1:9901 MEDICAL CENTER DR
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3357
Practice Address - Country:US
Practice Address - Phone:301-279-6025
Practice Address - Fax:301-217-5305
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD15170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist