Individual
DENNIS J FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
317 BEAVER STREET, HASTINGS, PA 16646
(814) 247-9959
(814) 247-8690
Mailing address
317 BEAVER STREET, HASTINGS, PA 16646
(814) 247-9959
(814) 247-8690
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PP411885L
PA
183500000X
Pharmacist
RP029470L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007854720001
—
PA
01
—
3939886
NCPDP
PA
Enumeration date
08/15/2005
Last updated
07/08/2007
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