Provider Demographics
NPI:1750317525
Name:BOROWIAK, TIMOTHY EDMUND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:EDMUND
Last Name:BOROWIAK
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 MELCREST ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49006-1631
Mailing Address - Country:US
Mailing Address - Phone:269-598-3997
Mailing Address - Fax:
Practice Address - Street 1:5121 SOUTH WESTNEDGE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-1446
Practice Address - Country:US
Practice Address - Phone:269-337-2110
Practice Address - Fax:269-337-2165
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302033581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist