Healthcare Provider Details

I. General information

NPI: 1790039394
Provider Name (Legal Business Name): ROBERT CHARLES LOWE PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2012
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1641 S SHADY ST
MOUNTAIN CITY TN
37683-2015
US

IV. Provider business mailing address

1641 S SHADY ST
MOUNTAIN CITY TN
37683-2015
US

V. Phone/Fax

Practice location:
  • Phone: 423-727-0038
  • Fax:
Mailing address:
  • Phone: 423-727-0038
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number863
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6402
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: