MEDICARE: FARZANEH GYURCSIK 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	03323896	OH

General Provider Information

NPI Number	:	1225663602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARZANEH GYURCSIK RPH

Provider Business Mailing Address
First Line	:	2826 DONCASTER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3034
Country	:	US
Telephone Number	:	614-361-7831
Fax Number	:

Provider Business Practice Location Address
First Line	:	2826 DONCASTER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3034
Country	:	US
Telephone Number	:	614-361-7831
Fax Number	:

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

Provider Enumeration Date	:	03/06/2020
Last Update Date	:	03/06/2020

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