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General NPI Number Information
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NPI Number | 1881815181
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Entity Type | Organization
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Legal Business Name | LOWRY DRUG COMPANY INC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 750 HARTNESS RD
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City | STATESVILLE
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State | NC
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Zip | 28677-3400
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Country | US
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Telephone | 704-873-2247
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Fax | 704-873-4050
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Provider Business Mailing Address
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Address Line | 750 HARTNESS RD
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City | STATESVILLE
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State | NC
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Zip | 28677-3400
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Country | US
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Telephone | 704-873-2247
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Fax | 704-873-4050
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Authorized Official
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Title or Position | PHARMACIST OWNER
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Name | MR. FRED WILSON LOWRY JR.
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Credential | RPH
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Telephone | 704-873-2247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 07292
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License Number State | NC
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