Individual
MICHAEL A. LOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
415 E MAIN ST, KINGWOOD, WV 26537-1701
(304) 329-2212
(304) 329-3803
Mailing address
415 EAST MAIN ST., KINGWOOD, WV 26537
(304) 329-2212
(304) 329-3803
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005234
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP0005234
PHARMACY LICENSE
WV
Enumeration date
04/11/2011
Last updated
04/29/2011
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