Healthcare Provider Details

I. General information

NPI: 1659394310
Provider Name (Legal Business Name): REBECCA SCHULKOWSKI PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SAINT PAUL ST
BALTIMORE MD
21202-2102
US

IV. Provider business mailing address

1111 BRASSIE CT
ARNOLD MD
21012-3110
US

V. Phone/Fax

Practice location:
  • Phone: 410-332-9636
  • Fax: 410-545-5174
Mailing address:
  • Phone: 410-332-9636
  • Fax: 410-545-5174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16320
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: