Provider Demographics
NPI:1689965113
Name:OWENS, HARRY BUCY JR (PD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:BUCY
Last Name:OWENS
Suffix:JR
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 BUCK HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-5247
Mailing Address - Country:US
Mailing Address - Phone:814-356-3387
Mailing Address - Fax:
Practice Address - Street 1:520 VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-4539
Practice Address - Country:US
Practice Address - Phone:301-724-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist