Healthcare Provider Details

I. General information

NPI: 1851553465
Provider Name (Legal Business Name): JOHN JACOB CIURZYNSKI RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

11200 LOCKWOOD DR APT A 1415
SILVER SPRING MD
20901-4551
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-0436
  • Fax:
Mailing address:
  • Phone: 716-712-7489
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number027234
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: