MEDICARE: MARIA KIRALY 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	183500000X	Pharmacist	RP451166	PA
2	183500000X	Pharmacist	03438436	OH

General Provider Information

NPI Number	:	1386303436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA KIRALY PHARMD

Provider Business Mailing Address
First Line	:	10 LEE DR
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44514-1963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10395 MAIN ST
Second Line	:
City	:	NEW MIDDLETOWN
State	:	OH
Zip	:	44442-9717
Country	:	US
Telephone Number	:	330-542-2802
Fax Number	:

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

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	12/15/2021

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Directions to “ MARIA KIRALY PHARMD” Practice Location

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