Healthcare Provider Details

I. General information

NPI: 1912210683
Provider Name (Legal Business Name): STEPHANIE LYNN BEGANSKY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE LYNN VICTOR PHARMD

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 07/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13307 NEW HAMPSHIRE AVE
SILVER SPRING MD
20904-3435
US

IV. Provider business mailing address

5 DELFORD AVE
SILVER SPRING MD
20904-3401
US

V. Phone/Fax

Practice location:
  • Phone: 301-384-0487
  • Fax:
Mailing address:
  • Phone: 717-645-4616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number19709
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP442721
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: