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NPI Code Detail

MEDICARE: DR. ROMAN KRUGLYANSKIY PHARMD

MEDICARE: DR. ROMAN KRUGLYANSKIY 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
1183500000XPharmacist21604MD

General Provider Information

NPI Number : 1871965210
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROMAN KRUGLYANSKIY PHARMD
Provider Business Mailing Address
First Line : 15990 ANNAPOLIS RD
Second Line :
City : BOWIE
State : MD
Zip : 20715-3041
Country : US
Telephone Number : 301-352-2340
Fax Number : 301-352-7407
Provider Business Practice Location Address
First Line : 15990 ANNAPOLIS RD
Second Line :
City : BOWIE
State : MD
Zip : 20715-3041
Country : US
Telephone Number : 301-352-2340
Fax Number : 301-352-7407
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 10/26/2015

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