MEDICARE: MRS. LIZ DOW R.PH.

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
1	183500000X	Pharmacist	32620	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32620	OTHER	TX	PHARMACIST LICENSE

General Provider Information

NPI Number	:	1134132996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LIZ DOW R.PH.

Provider Business Mailing Address
First Line	:	8800 LONG POINT RD
Second Line	:	DOW PHARMACY
City	:	HOUSTON
State	:	TX
Zip	:	77055-3025
Country	:	US
Telephone Number	:	713-722-7999
Fax Number	:	713-722-7922

Provider Business Practice Location Address
First Line	:	8800 LONG POINT RD
Second Line	:	DOW PHARMACY
City	:	HOUSTON
State	:	TX
Zip	:	77055-3025
Country	:	US
Telephone Number	:	713-722-7999
Fax Number	:	713-722-7922

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	07/08/2007

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