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NPI Code Detail

MEDICARE: MICHELLE RENEE LOWE PHARMD

MEDICARE: MICHELLE RENEE LOWE PHARMD
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
1183500000XPharmacistPS35928FL

General Provider Information

NPI Number : 1700167079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE RENEE LOWE PHARMD
Provider Business Mailing Address
First Line : 13322 LONG CYPRESS TRL
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32223-5575
Country : US
Telephone Number : 904-252-8574
Fax Number :
Provider Business Practice Location Address
First Line : 3604 BLANDING BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-5241
Country : US
Telephone Number : 904-778-8821
Fax Number : 904-778-9053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2011
Last Update Date : 08/31/2011

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