Provider Demographics
NPI:1437637998
Name:BRZOZOWSKI, LAUREN (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BRZOZOWSKI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 N HATFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01038-9773
Mailing Address - Country:US
Mailing Address - Phone:413-320-8222
Mailing Address - Fax:
Practice Address - Street 1:55 FEDERAL STREET
Practice Address - Street 2:SUITE 105
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2546
Practice Address - Country:US
Practice Address - Phone:413-376-5430
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH237867183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist