Provider Demographics
NPI:1770652364
Name:STOWE, ANNETTE MCFALLS (RPH)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:MCFALLS
Last Name:STOWE
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 1:949 PINEY FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1591
Mailing Address - Country:US
Mailing Address - Phone:434-835-0030
Mailing Address - Fax:434-835-0031
Practice Address - Street 1:949 PINEY FOREST RD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24540-1591
Practice Address - Country:US
Practice Address - Phone:434-835-0030
Practice Address - Fax:434-835-0031
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202006897183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist