Healthcare Provider Details

I. General information

NPI: 1841859345
Provider Name (Legal Business Name): SARAH ABIGAIL LOWRY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13121 OLIO RD
FISHERS IN
46037-7237
US

IV. Provider business mailing address

331 CLIFF DR
LOGANSPORT IN
46947-4306
US

V. Phone/Fax

Practice location:
  • Phone: 317-355-1411
  • Fax:
Mailing address:
  • Phone: 574-702-1533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number26027089A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: