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NPI Code Detail

MEDICARE: CARL SIPP

MEDICARE: CARL SIPP
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
1183500000XPharmacist21710MD

General Provider Information

NPI Number : 1801203278
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL SIPP
Provider Business Mailing Address
First Line : 8201 ANNAPOLIS RD
Second Line :
City : NEW CARROLLTON
State : MD
Zip : 20784-3016
Country : US
Telephone Number : 301-577-6222
Fax Number :
Provider Business Practice Location Address
First Line : 8201 ANNAPOLIS RD
Second Line :
City : NEW CARROLLTON
State : MD
Zip : 20784-3016
Country : US
Telephone Number : 301-577-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2014
Last Update Date : 07/17/2014

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Directions to “ CARL SIPP ” Practice Location

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