Provider Demographics
NPI:1821202243
Name:NOWLIN, DEBRA BURNETT (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:BURNETT
Last Name:NOWLIN
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 1:239 WOODFIELD DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5910
Mailing Address - Country:US
Mailing Address - Phone:706-587-4790
Mailing Address - Fax:706-571-1861
Practice Address - Street 1:710 CENTER ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1527
Practice Address - Country:US
Practice Address - Phone:706-571-1495
Practice Address - Fax:706-571-1861
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10706183500000X
GA14491183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist