Provider Demographics
NPI:1164573309
Name:STOWE, JAMES EDWIN JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EDWIN
Last Name:STOWE
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:285 GREAT OAK DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-4504
Mailing Address - Country:US
Mailing Address - Phone:706-543-7978
Mailing Address - Fax:706-543-0244
Practice Address - Street 1:101 E CLAYTON ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2702
Practice Address - Country:US
Practice Address - Phone:706-543-3454
Practice Address - Fax:706-543-0244
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH010892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist