MEDICARE: DR. CHRISTOPHER DUBIK PHARM D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	21702	MD

General Provider Information

NPI Number	:	1366842023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER DUBIK PHARM D

Provider Business Mailing Address
First Line	:	5870 SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1103
Country	:	US
Telephone Number	:	301-736-3994
Fax Number	:

Provider Business Practice Location Address
First Line	:	5870 SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1103
Country	:	US
Telephone Number	:	301-736-3994
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2014
Last Update Date	:	09/01/2014

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