Provider Demographics
NPI:1194563882
Name:ROWE, CHANDLER Q (PHARM D)
Entity type:Individual
Prefix:
First Name:CHANDLER
Middle Name:Q
Last Name:ROWE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-1071
Mailing Address - Country:US
Mailing Address - Phone:068-899-5726
Mailing Address - Fax:
Practice Address - Street 1:429 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1071
Practice Address - Country:US
Practice Address - Phone:068-899-5726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY024381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist