Provider Demographics
NPI:1467724708
Name:STOWERS, GUNAR E (RPH)
Entity Type:Individual
Prefix:MR
First Name:GUNAR
Middle Name:E
Last Name:STOWERS
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 1:3443 ROBINHOOD RD STE S
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-4760
Mailing Address - Country:US
Mailing Address - Phone:336-283-9355
Mailing Address - Fax:336-283-9357
Practice Address - Street 1:3443 ROBINHOOD RD STE S
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-4760
Practice Address - Country:US
Practice Address - Phone:336-283-9355
Practice Address - Fax:336-283-9357
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15741183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist