Provider Demographics
NPI:1477789386
Name:PAWLUKIEWICZ, NANCY D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:D
Last Name:PAWLUKIEWICZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:NANCY
Other - Middle Name:D
Other - Last Name:ELKHOURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4500 SAN PABLO RD S
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1865
Mailing Address - Country:US
Mailing Address - Phone:904-953-2021
Mailing Address - Fax:
Practice Address - Street 1:4500 SAN PABLO RD S
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1865
Practice Address - Country:US
Practice Address - Phone:904-953-2021
Practice Address - Fax:904-953-2274
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS43877183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist