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NPI Code Detail

MEDICARE: DR. SHARWANDA LYSHAUN GEORGE PHARM D.

MEDICARE: DR. SHARWANDA LYSHAUN GEORGE 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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist0202204164VA
2183500000XPharmacist0202204164VA

General Provider Information

NPI Number : 1841280096
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARWANDA LYSHAUN GEORGE PHARM D.
Provider Business Mailing Address
First Line : 2480 LLEWELLYN AVE
Second Line :
City : FORT GEORGE G MEADE
State : MD
Zip : 20755-7081
Country : US
Telephone Number : 703-696-7924
Fax Number :
Provider Business Practice Location Address
First Line : 2480 LLEWELLYN AVE
Second Line :
City : FORT GEORGE G MEADE
State : MD
Zip : 20755-7081
Country : US
Telephone Number : 703-696-7924
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 09/17/2025

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