Provider Demographics
NPI:1043561822
Name:LOWE, ANDREW A (PHARMD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:A
Last Name:LOWE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 VERNON ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:ME
Mailing Address - Zip Code:04217-4207
Mailing Address - Country:US
Mailing Address - Phone:207-240-6410
Mailing Address - Fax:
Practice Address - Street 1:28 MAYVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:ME
Practice Address - Zip Code:04217-4400
Practice Address - Country:US
Practice Address - Phone:207-824-8085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-20
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR6314183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist