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NPI 1093498156

NPI 1093498156 : GARY LOWE PHARM D : CANOGA PARK, CA

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General NPI Number Information
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    NPI Number           |    1093498156
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    Entity Type          |    Individual 
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    Provider Name        |    GARY LOWE PHARM D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/07/2023
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    Last Update Date     |    08/07/2023
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Provider Practice Location Address
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    Address Line         |    8220 REMMET AVE 
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    City                 |    CANOGA PARK
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    State                |    CA
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    Zip                  |    91304-4156
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    Country              |    US
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    Telephone            |    818-746-9800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 10334 
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    City                 |    FULLERTON
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    State                |    CA
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    Zip                  |    92838-6334
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    46448
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    License Number State |    CA
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