MEDICARE: ARLENE LORRAINE SOWELL RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	4463	OR

General Provider Information

NPI Number	:	1174897664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE LORRAINE SOWELL RPH

Provider Business Mailing Address
First Line	:	3555 S PACIFIC HWY SPC 146
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97501-8803
Country	:	US
Telephone Number	:	541-535-2350
Fax Number	:

Provider Business Practice Location Address
First Line	:	3555 S PACIFIC HWY SPC 146
Second Line	:
City	:	MEDFORD
State	:	OR
Zip	:	97501-8803
Country	:	US
Telephone Number	:	541-535-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2012
Last Update Date	:	02/29/2012

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