Provider Demographics
NPI:1093015695
Name:ROWE, WILLIAM M (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
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 1:3904 E 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1606
Mailing Address - Country:US
Mailing Address - Phone:303-457-3588
Mailing Address - Fax:303-457-2792
Practice Address - Street 1:3904 E 120TH AVE
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1606
Practice Address - Country:US
Practice Address - Phone:303-457-3588
Practice Address - Fax:303-457-2792
Is Sole Proprietor?:No
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17578183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist