MEDICARE: DR. CAROL ANN BROZEK PHARM.D.

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	PH23215	MA
2	183500000X	Pharmacist	023725	KY
3	183500000X	Pharmacist	18012	NE
4	183500000X	Pharmacist	51.394934	IL
5	183500000X	Pharmacist	2022039210	MO
6	183500000X	Pharmacist	5302029078	MI
7	183500000X	Pharmacist	RP456235	PA
8	183500000X	Pharmacist	RPH-0019614	OR
9	183500000X	Pharmacist	3442992	OH
10	183500000X	Pharmacist	16049	MD

General Provider Information

NPI Number	:	1982487005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL ANN BROZEK PHARM.D.

Provider Business Mailing Address
First Line	:	7150 COLUMBIA GATEWAY DR STE E
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2273
Country	:	US
Telephone Number	:	877-674-9700
Fax Number	:	949-462-8713

Provider Business Practice Location Address
First Line	:	7150 COLUMBIA GATEWAY DR STE E
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2273
Country	:	US
Telephone Number	:	877-674-9700
Fax Number	:	949-462-8713

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

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	08/14/2023

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