MEDICARE: MAGDALENA CYBULSKA 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	22437	NV

General Provider Information

NPI Number	:	1851031520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDALENA CYBULSKA PHARMD

Provider Business Mailing Address
First Line	:	3321 HYANNIS CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6263
Country	:	US
Telephone Number	:	773-332-9205
Fax Number	:

Provider Business Practice Location Address
First Line	:	3321 HYANNIS CIR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6263
Country	:	US
Telephone Number	:	773-332-9205
Fax Number	:

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

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	03/31/2022

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