Individual
MS. SAMANTHA CZIBUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7830 WORMANS MILL RD, FREDERICK, MD 21701-3034
(240) 575-7345
(240) 575-7398
Mailing address
9644 BOTHWELL LN, FREDERICK, MD 21704-7886
(215) 622-6818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22436
MD
183500000X
Pharmacist
RP448718
PA
183500000X
Pharmacist
RPI008607
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061265
PHARMACIST LICENSE
NY
01
—
22436
PHARMACIST AND VACCINATION LICENSE
MD
01
—
RP448718
PHARMACIST LICENSE
PA
01
—
RPI008607
AUTHORIZATION TO ADMINSTER INJECTABLES
PA
Enumeration date
06/27/2014
Last updated
11/12/2018
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