Provider Demographics
NPI:1740311661
Name:SOKOLOWSKI, ADRIENNE NICOLE LOWERTS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:NICOLE LOWERTS
Last Name:SOKOLOWSKI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 BAYNARD ST
Mailing Address - Street 2:
Mailing Address - City:POOLER
Mailing Address - State:GA
Mailing Address - Zip Code:31322-2232
Mailing Address - Country:US
Mailing Address - Phone:912-596-0607
Mailing Address - Fax:
Practice Address - Street 1:2409 US HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3756
Practice Address - Country:US
Practice Address - Phone:912-756-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH022525183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist