Provider Demographics
NPI:1164022117
Name:DOW, AMBER R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:R
Last Name:DOW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 FRANKLIN MILLS CIR
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-3190
Mailing Address - Country:US
Mailing Address - Phone:215-281-1631
Mailing Address - Fax:215-281-1649
Practice Address - Street 1:1000 FRANKLIN MILLS CIR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-3190
Practice Address - Country:US
Practice Address - Phone:215-281-1631
Practice Address - Fax:215-281-1649
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP451040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist