MEDICARE: DR. CHRISTINE SYBERT PHARMD

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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	13586	MD
2	183500000X	Pharmacist	13586	MD

General Provider Information

NPI Number	:	1255195277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE SYBERT PHARMD

Provider Business Mailing Address
First Line	:	1313 WATER OAK DR
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2377
Country	:	US
Telephone Number	:	443-691-0184
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 WATER OAK DR
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-2377
Country	:	US
Telephone Number	:	443-691-0184
Fax Number	:

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

Provider Enumeration Date	:	02/09/2024
Last Update Date	:	02/09/2024

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