Healthcare Provider Details

I. General information

NPI: 1013903251
Provider Name (Legal Business Name): KAROLINA ANNA KOWALEWSKA PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 N 6TH ST
TACOMA WA
98403-1615
US

IV. Provider business mailing address

1108 N 6TH ST
TACOMA WA
98403-1615
US

V. Phone/Fax

Practice location:
  • Phone: 253-756-2521
  • Fax: 253-756-2707
Mailing address:
  • Phone: 253-756-2521
  • Fax: 253-756-2707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPH00039693
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberPH00039693
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: