Provider Demographics
NPI:1558959650
Name:LOWRY, HEYWARD KING (RPH)
Entity Type:Individual
Prefix:MR
First Name:HEYWARD
Middle Name:KING
Last Name:LOWRY
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 1:1564 WIDGEN CT SW
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-5899
Mailing Address - Country:US
Mailing Address - Phone:910-734-7586
Mailing Address - Fax:
Practice Address - Street 1:1564 WIDGEN CT SW
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-5899
Practice Address - Country:US
Practice Address - Phone:910-734-7586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC08916183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist