MEDICARE: GUIANI VERNON BITKEU BIALI PHARMACIST

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	183500000X	Pharmacist	24962	MD

General Provider Information

NPI Number	:	1962924258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUIANI VERNON BITKEU BIALI PHARMACIST

Provider Business Mailing Address
First Line	:	324 VALE ST
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-4149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 BISHOP MURPHY DR
Second Line	:
City	:	FROSTBURG
State	:	MD
Zip	:	21532-1329
Country	:	US
Telephone Number	:	301-689-2422
Fax Number	:

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

Provider Enumeration Date	:	07/09/2017
Last Update Date	:	07/09/2017

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Directions to “ GUIANI VERNON BITKEU BIALI PHARMACIST” Practice Location

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