MEDICARE: DR. ABBIE L. MCGOWAN PHARMD

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	RP440245	PA

General Provider Information

NPI Number	:	1952590457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABBIE L. MCGOWAN PHARMD

Provider Business Mailing Address
First Line	:	451 HYDE PARK RD
Second Line	:
City	:	LEECHBURG
State	:	PA
Zip	:	15656-9417
Country	:	US
Telephone Number	:	724-845-1880
Fax Number	:	724-845-3471

Provider Business Practice Location Address
First Line	:	451 HYDE PARK RD
Second Line	:
City	:	LEECHBURG
State	:	PA
Zip	:	15656-9417
Country	:	US
Telephone Number	:	724-845-1880
Fax Number	:	724-845-3471

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

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	10/19/2007

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