Provider Demographics
NPI:1215167804
Name:LOWY, RICHARD FREDERICK (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:FREDERICK
Last Name:LOWY
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1427 MARINER WAY
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33019-5013
Mailing Address - Country:US
Mailing Address - Phone:954-455-9924
Mailing Address - Fax:954-455-1268
Practice Address - Street 1:1618 SOUTH FEDERAL HWY.
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004
Practice Address - Country:US
Practice Address - Phone:954-921-4661
Practice Address - Fax:954-921-0484
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS12671183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist