Provider Demographics
NPI:1629325485
Name:BELZOWSKI, LINDA EWA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:EWA
Last Name:BELZOWSKI
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 1:9203 AVALON DR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-1563
Mailing Address - Country:US
Mailing Address - Phone:413-262-4237
Mailing Address - Fax:
Practice Address - Street 1:18 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOWNSEND
Practice Address - State:MA
Practice Address - Zip Code:01469-1300
Practice Address - Country:US
Practice Address - Phone:978-597-2160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-11
Last Update Date:2012-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist