Provider Demographics
NPI:1114231941
Name:DOWELL, DON LAMAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:LAMAR
Last Name:DOWELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8020 DENTON HWY
Mailing Address - Street 2:
Mailing Address - City:WATAUGA
Mailing Address - State:TX
Mailing Address - Zip Code:76148-2464
Mailing Address - Country:US
Mailing Address - Phone:817-428-5376
Mailing Address - Fax:817-428-8361
Practice Address - Street 1:8020 DENTON HWY
Practice Address - Street 2:
Practice Address - City:WATAUGA
Practice Address - State:TX
Practice Address - Zip Code:76148-2464
Practice Address - Country:US
Practice Address - Phone:817-428-5376
Practice Address - Fax:817-428-8361
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist