Provider Demographics
NPI:1154339711
Name:DOWNING, ELIZABETH BURGESS (RPH)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BURGESS
Last Name:DOWNING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:SUSAN
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3405 BRAGG DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28409-6952
Mailing Address - Country:US
Mailing Address - Phone:910-313-3098
Mailing Address - Fax:
Practice Address - Street 1:27449 ANDREW JACKSON HWY E
Practice Address - Street 2:
Practice Address - City:DELCO
Practice Address - State:NC
Practice Address - Zip Code:28436-8822
Practice Address - Country:US
Practice Address - Phone:910-655-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist