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NPI Code Detail

MEDICARE: DR. KIMBERLY S LIZARDO PHARM.D.

MEDICARE:  DR. KIMBERLY S LIZARDO  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
1183500000XPharmacist21242MD

General Provider Information

NPI Number : 1508204819
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY S LIZARDO PHARM.D.
Provider Business Mailing Address
First Line : 2702 BACK ACRE CIR
Second Line : SUITE 190-B
City : MOUNT AIRY
State : MD
Zip : 21771-7769
Country : US
Telephone Number : 301-703-8836
Fax Number :
Provider Business Practice Location Address
First Line : 2702 BACK ACRE CIR
Second Line : SUITE 190-B
City : MOUNT AIRY
State : MD
Zip : 21771-7769
Country : US
Telephone Number : 301-703-8836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2013
Last Update Date : 10/28/2015

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Directions to “ DR. KIMBERLY S LIZARDO PHARM.D.” Practice Location

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