Provider Demographics
NPI:1679868533
Name:WOLOWIECKI, LOUISA CAMPITELLI (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:LOUISA
Middle Name:CAMPITELLI
Last Name:WOLOWIECKI
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 STATE ROUTE 303
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-5266
Mailing Address - Country:US
Mailing Address - Phone:330-626-6401
Mailing Address - Fax:330-626-6411
Practice Address - Street 1:1144 STATE ROUTE 303
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5266
Practice Address - Country:US
Practice Address - Phone:330-626-6401
Practice Address - Fax:330-626-6411
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03119291183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist