Provider Demographics
NPI:1881815181
Name:LOWRY DRUG COMPANY INC
Entity Type:Organization
Organization Name:LOWRY DRUG COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:LOWRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:704-873-2247
Mailing Address - Street 1:750 HARTNESS RD
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-3400
Mailing Address - Country:US
Mailing Address - Phone:704-873-2247
Mailing Address - Fax:704-873-4050
Practice Address - Street 1:750 HARTNESS RD
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3400
Practice Address - Country:US
Practice Address - Phone:704-873-2247
Practice Address - Fax:704-873-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC072923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3411333OtherNABP NUMBER
NC049504-4Medicaid