Organization
LOWRY DRUG CO
Active
Other names
Lowry Custom Pharmacy Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WILSON LOWRY JR. RPH (RPH/PRESIDENT)
(704) 873-2256
Entity
Organization
Contact information
Practice address
750 HARTNESS RD STE A, STATESVILLE, NC 28677-3400
(704) 872-5226
(704) 873-4050
Mailing address
750 HARTNESS RD STE A, STATESVILLE, NC 28677-3400
(704) 872-5226
(704) 873-4050
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
09240
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09240
NC PHARMACY LICENSE
NC
Enumeration date
10/16/2012
Last updated
10/16/2012
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