MEDICARE: STANLEY PYLES

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	1835G0303X	Geriatric Pharmacist	12285	MD

General Provider Information

NPI Number	:	1730545088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STANLEY PYLES

Provider Business Mailing Address
First Line	:	7100 COLUMBIA GATEWAY DR
Second Line	:	SUITE 100 & 110
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2140
Country	:	US
Telephone Number	:	866-466-7779
Fax Number	:

Provider Business Practice Location Address
First Line	:	7100 COLUMBIA GATEWAY DR
Second Line	:	SUITE 100 & 110
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2140
Country	:	US
Telephone Number	:	866-466-7779
Fax Number	:

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

Provider Enumeration Date	:	12/31/2015
Last Update Date	:	12/31/2015

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Directions to “ STANLEY PYLES ” Practice Location

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