Healthcare Provider Details

I. General information

NPI: 1538071329
Provider Name (Legal Business Name): ELIZABETH REMIZOWSKI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 ALICEANNA ST
BALTIMORE MD
21231-2802
US

IV. Provider business mailing address

1512 ALICEANNA ST
BALTIMORE MD
21231-2802
US

V. Phone/Fax

Practice location:
  • Phone: 315-534-9498
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number30385
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: