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NPI Code Detail

MEDICARE: DR. MARIUSZ PUSZCZYNSKI DOCTOR OF PHARMACY

MEDICARE: DR. MARIUSZ PUSZCZYNSKI DOCTOR OF PHARMACY
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
1183500000XPharmacist17420NC
2183500000XPharmacist010867SC

General Provider Information

NPI Number : 1295030088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIUSZ PUSZCZYNSKI DOCTOR OF PHARMACY
Provider Business Mailing Address
First Line : 14125 STEELE CREEK RD
Second Line : CVS PHARMACY
City : CHARLOTTE
State : NC
Zip : 28273-3968
Country : US
Telephone Number : 704-504-8199
Fax Number : 704-504-3496
Provider Business Practice Location Address
First Line : 14125 STEELE CREEK RD
Second Line : CVS PHARMACY
City : CHARLOTTE
State : NC
Zip : 28273-3968
Country : US
Telephone Number : 704-504-8199
Fax Number : 704-504-3496
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2011
Last Update Date : 01/25/2011

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