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NPI Code Detail

MEDICARE: CHRISTOPHER KOWALSKI B.S. PHARM

MEDICARE: CHRISTOPHER KOWALSKI B.S. PHARM
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
1183500000XPharmacist16732MA

General Provider Information

NPI Number : 1396246179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER KOWALSKI B.S. PHARM
Provider Business Mailing Address
First Line : 18 CARTER DR
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-2808
Country : US
Telephone Number : 978-250-1860
Fax Number :
Provider Business Practice Location Address
First Line : 16 BOSTON RD
Second Line :
City : CHELMSFORD
State : MA
Zip : 01824-3013
Country : US
Telephone Number : 978-256-2577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 02/26/2018

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