Provider Demographics
NPI:1790386506
Name:OWENS, LORI DOSHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:DOSHER
Last Name:OWENS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:561 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:OAK GROVE
Mailing Address - State:LA
Mailing Address - Zip Code:71263-8075
Mailing Address - Country:US
Mailing Address - Phone:318-282-8931
Mailing Address - Fax:
Practice Address - Street 1:WAL-MART
Practice Address - Street 2:1831 HWY 1 SOUTH
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701
Practice Address - Country:US
Practice Address - Phone:662-332-9992
Practice Address - Fax:662-332-9992
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE09737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist