MEDICARE: ELENA SIRBU RPH

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	53986	TX

General Provider Information

NPI Number	:	1972996437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA SIRBU RPH

Provider Business Mailing Address
First Line	:	2013 WELLS BRANCH PKWY
Second Line	:	SUITE 111
City	:	AUSTIN
State	:	TX
Zip	:	78728-6900
Country	:	US
Telephone Number	:	512-246-2121
Fax Number	:	512-246-2995

Provider Business Practice Location Address
First Line	:	2013 WELLS BRANCH PKWY
Second Line	:	SUITE 111
City	:	AUSTIN
State	:	TX
Zip	:	78728-6900
Country	:	US
Telephone Number	:	512-246-2121
Fax Number	:	512-246-2995

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

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	03/09/2015

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