Provider Demographics
NPI:1710290697
Name:LABOWITCH, MICHAEL ROY (RPH)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ROY
Last Name:LABOWITCH
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 1:731 E BELL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-2684
Mailing Address - Country:US
Mailing Address - Phone:602-375-0477
Mailing Address - Fax:
Practice Address - Street 1:731 E BELL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2684
Practice Address - Country:US
Practice Address - Phone:602-375-0477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010378183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist