Provider Demographics
NPI:1922020460
Name:BOROWSKI, GENE NICHOLAS (RPH)
Entity Type:Individual
Prefix:
First Name:GENE
Middle Name:NICHOLAS
Last Name:BOROWSKI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20389 MILL POND TER
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20876-6033
Mailing Address - Country:US
Mailing Address - Phone:301-515-5222
Mailing Address - Fax:301-515-1441
Practice Address - Street 1:19271 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-5021
Practice Address - Country:US
Practice Address - Phone:301-948-8545
Practice Address - Fax:301-948-4198
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist