Brian C Borowicz, PHARMD
Individual provider Active NPI Pharmacist · Cadillac, MI
NPI 1073104170 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1073104170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302413193 (MI)
- Practice address
- 520 Cobb St
Cadillac, MI 49601-2588 - Phone
- (231) 876-6740
- NPI assigned
- Feb 1, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302413193 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302413193 | MI | Yes |
Addresses
Primary practice location
520 Cobb St
Cadillac, MI 49601-2588
Mailing address
1060 N West Silver Lake Rd
Traverse City, MI 49685-8665
Phone (248) 894-5791
Other practice location 1
1615 Michigan Ave
Baldwin, MI 49304-9406
Phone (231) 745-5024
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.