Provider Demographics
NPI:1700954328
Name:COBUZZI, LOUIS EUGENE (RPH, MS)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:EUGENE
Last Name:COBUZZI
Suffix:
Gender:M
Credentials:RPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 DEVONSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-1001
Mailing Address - Country:US
Mailing Address - Phone:410-729-2867
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF VETERANS AFFAIRS
Practice Address - Street 2:810 VERMONT AVE, NW ROOM 968
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20420
Practice Address - Country:US
Practice Address - Phone:202-273-7003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31135183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist