Provider Demographics
NPI:1033632872
Name:BUKOWITZ, ALISON EMILY (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:EMILY
Last Name:BUKOWITZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1875 BLACKSMITH DR
Mailing Address - Street 2:
Mailing Address - City:MARRIOTTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21104-1145
Mailing Address - Country:US
Mailing Address - Phone:443-912-4488
Mailing Address - Fax:
Practice Address - Street 1:157 RITCHIE HWY
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-1116
Practice Address - Country:US
Practice Address - Phone:410-544-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2017-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25034183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty