Provider Demographics
NPI:1497915375
Name:MCDOWELL, JUSTIN ANTHONY (RPH)
Entity Type:Individual
Prefix:MR
First Name:JUSTIN
Middle Name:ANTHONY
Last Name:MCDOWELL
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 1:12 QUIMBY AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-4421
Mailing Address - Country:US
Mailing Address - Phone:978-454-9195
Mailing Address - Fax:
Practice Address - Street 1:20 CABOT RD
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1004
Practice Address - Country:US
Practice Address - Phone:781-897-6936
Practice Address - Fax:781-897-6937
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA23951183500000X
NH3155183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist