MEDICARE: DR. TSEDALE M ZERABRUK PHARM.D.

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	20661	MD
2	183500000X	Pharmacist	PH3307	DC

General Provider Information

NPI Number	:	1346685450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TSEDALE M ZERABRUK PHARM.D.

Provider Business Mailing Address
First Line	:	9117 WELLINGTON PL
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2764
Country	:	US
Telephone Number	:	202-328-8761
Fax Number	:	202-234-1219

Provider Business Practice Location Address
First Line	:	8201 OXON HILL RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-4718
Country	:	US
Telephone Number	:	301-839-7211
Fax Number	:

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

Provider Enumeration Date	:	05/02/2013
Last Update Date	:	09/05/2023

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