Provider Demographics
NPI:1194908426
Name:PAWLOWSKI, JOHN CHRISTOPHER (RPH)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CHRISTOPHER
Last Name:PAWLOWSKI
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 1:1511 ROUTE 22
Mailing Address - Street 2:SUITE A
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509
Mailing Address - Country:US
Mailing Address - Phone:845-278-5251
Mailing Address - Fax:
Practice Address - Street 1:1511 ROUTE 22
Practice Address - Street 2:SUITE A
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4020
Practice Address - Country:US
Practice Address - Phone:845-278-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036962-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist