Provider Demographics
NPI:1982487005
Name:BROZEK, CAROL ANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANN
Last Name:BROZEK
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 1:7150 COLUMBIA GATEWAY DR STE E
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2273
Mailing Address - Country:US
Mailing Address - Phone:877-674-9700
Mailing Address - Fax:949-462-8713
Practice Address - Street 1:7150 COLUMBIA GATEWAY DR STE E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2273
Practice Address - Country:US
Practice Address - Phone:877-674-9700
Practice Address - Fax:949-462-8713
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH23215183500000X
KY023725183500000X
NE18012183500000X
IL51.394934183500000X
MO2022039210183500000X
MI5302029078183500000X
PARP456235183500000X
ORRPH-0019614183500000X
OH3442992183500000X
MD16049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist