Healthcare Provider Details

I. General information

NPI: 1265377550
Provider Name (Legal Business Name): LAUREN GROFT BUZZALINO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 HOLABIRD AVE STE A
BALTIMORE MD
21224-6015
US

IV. Provider business mailing address

4918 ARBORGATE CIR
HALETHORPE MD
21227-2560
US

V. Phone/Fax

Practice location:
  • Phone: 443-991-0645
  • Fax: 410-367-3321
Mailing address:
  • Phone: 443-845-5766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number26584
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: