Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Rose Phan

Individual provider Pharmacist · NPI 1104591841

Carly Rose Phan is a Pharmacist in Lanham, Maryland. Licensed in Maryland. Registered with an NPI since 2021.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

4551 Forbes Blvd
Lanham, MD 20706-4325
Phone: (301) 918-6500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 28145 (MD)

Record details

NPI number1104591841
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 13, 2021
Last updated in NPPESAugust 13, 2021
Certification dateAugust 13, 2021
Mailing address4551 Forbes Blvd, Lanham, MD 20706-4325

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