MEDICARE: MR. JOHN P SOWINSKI R.PH.

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	10318	WI
2	1835N1003X	Nutrition Support Pharmacist	10318	WI

General Provider Information

NPI Number	:	1861539553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN P SOWINSKI R.PH.

Provider Business Mailing Address
First Line	:	1727 BERGE CT
Second Line	:
City	:	MANITOWOC
State	:	WI
Zip	:	54220-1814
Country	:	US
Telephone Number	:	920-682-0041
Fax Number	:

Provider Business Practice Location Address
First Line	:	1516 WASHINGTON ST
Second Line	:
City	:	TWO RIVERS
State	:	WI
Zip	:	54241-3045
Country	:	US
Telephone Number	:	920-553-1225
Fax Number	:

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	09/11/2025

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