Provider Demographics
NPI:1770013104
Name:DOWNING, LISA BATES (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:BATES
Last Name:DOWNING
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:BATES
Other - Last Name:DOWNING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:108 ROSEBURY CIR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-6823
Mailing Address - Country:US
Mailing Address - Phone:205-664-2664
Mailing Address - Fax:
Practice Address - Street 1:1415 7TH ST S
Practice Address - Street 2:
Practice Address - City:CLANTON
Practice Address - State:AL
Practice Address - Zip Code:35045-3746
Practice Address - Country:US
Practice Address - Phone:205-755-5728
Practice Address - Fax:205-755-9477
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL011982183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist