Provider Demographics
NPI:1669673943
Name:KOWALSKI, JAMES JOSEPH (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOSEPH
Last Name:KOWALSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:3310 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1504
Mailing Address - Country:US
Mailing Address - Phone:716-692-0805
Mailing Address - Fax:716-690-2582
Practice Address - Street 1:445 TREMONT ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-6150
Practice Address - Country:US
Practice Address - Phone:716-690-2233
Practice Address - Fax:716-690-2582
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY26664-11835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric