Provider Demographics
NPI:1396246179
Name:KOWALSKI, CHRISTOPHER (BS PHARM)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:KOWALSKI
Suffix:
Gender:M
Credentials:BS PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CARTER DR
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2808
Mailing Address - Country:US
Mailing Address - Phone:978-250-1860
Mailing Address - Fax:
Practice Address - Street 1:16 BOSTON RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3013
Practice Address - Country:US
Practice Address - Phone:978-256-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA16732183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist