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NPI Code Detail

MEDICARE: DR. BRIAN MICHAEL SERUMAGA BPHARM, MPH, PHD

MEDICARE: DR. BRIAN MICHAEL SERUMAGA BPHARM, MPH, PHD
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
11835C0207XCompounded Sterile Preparations Pharmacist0202216339VA
2183500000XPharmacist0202216339VA

General Provider Information

NPI Number : 1437922747
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN MICHAEL SERUMAGA BPHARM, MPH, PHD
Provider Business Mailing Address
First Line : 12973 QUEEN CHAPEL RD
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22193-4562
Country : US
Telephone Number : 571-239-8367
Fax Number :
Provider Business Practice Location Address
First Line : 902 GARRISONVILLE RD
Second Line :
City : STAFFORD
State : VA
Zip : 22556-3904
Country : US
Telephone Number : 540-659-1313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2023
Last Update Date : 10/30/2023

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