Provider Demographics
NPI:1720682297
Name:LOWE, MORGAN MICHELLE (RPH)
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:MICHELLE
Last Name:LOWE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1495 W 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-2403
Mailing Address - Country:US
Mailing Address - Phone:614-486-7159
Mailing Address - Fax:
Practice Address - Street 1:1495 W 5TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-2403
Practice Address - Country:US
Practice Address - Phone:614-486-7159
Practice Address - Fax:614-486-6162
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438953183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist