Provider Demographics
NPI:1497927586
Name:MCDOWELL, GRETCHEN M (RPH)
Entity Type:Individual
Prefix:MRS
First Name:GRETCHEN
Middle Name:M
Last Name:MCDOWELL
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 1:100 TECHNOLOGY PARK
Mailing Address - Street 2:SUITE 155
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746
Mailing Address - Country:US
Mailing Address - Phone:877-453-4566
Mailing Address - Fax:866-537-0877
Practice Address - Street 1:100 TECHNOLOGY PARK STE 155
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-6205
Practice Address - Country:US
Practice Address - Phone:877-453-4566
Practice Address - Fax:866-537-0877
Is Sole Proprietor?:No
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist