Provider Demographics
NPI:1932486313
Name:LEBOWITZ, CAITLIN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:LEBOWITZ
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:LALLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:7 WALMART BLVD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-5248
Mailing Address - Country:US
Mailing Address - Phone:603-598-6515
Mailing Address - Fax:603-598-6515
Practice Address - Street 1:7 WALMART BLVD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-5248
Practice Address - Country:US
Practice Address - Phone:603-598-6515
Practice Address - Fax:603-598-6515
Is Sole Proprietor?:No
Enumeration Date:2011-11-13
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233515183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist