Provider Demographics
NPI:1164904546
Name:LOWE, LINDA K (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:K
Last Name:LOWE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MEXICO
Mailing Address - State:ME
Mailing Address - Zip Code:04257-1812
Mailing Address - Country:US
Mailing Address - Phone:207-636-4299
Mailing Address - Fax:207-364-2629
Practice Address - Street 1:258 RIVER RD
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:ME
Practice Address - Zip Code:04257-1812
Practice Address - Country:US
Practice Address - Phone:207-636-4299
Practice Address - Fax:207-364-2629
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR4265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist