MEDICARE: MR. ALLEN MARK DOWTY 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	5302028254	MI

General Provider Information

NPI Number	:	1841574506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALLEN MARK DOWTY R.PH.

Provider Business Mailing Address
First Line	:	430 N LAKE ST
Second Line	:
City	:	BOYNE CITY
State	:	MI
Zip	:	49712-1104
Country	:	US
Telephone Number	:	231-582-2101
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 N LAKE ST
Second Line	:
City	:	BOYNE CITY
State	:	MI
Zip	:	49712-1104
Country	:	US
Telephone Number	:	231-582-2101
Fax Number	:

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

Provider Enumeration Date	:	09/29/2011
Last Update Date	:	09/29/2011

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