Provider Demographics
NPI:1891713996
Name:DOWD, BEVERLY ANN (RPH,FASCP)
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:ANN
Last Name:DOWD
Suffix:
Gender:F
Credentials:RPH,FASCP
Other - Prefix:MS
Other - First Name:BEVERLY
Other - Middle Name:ANN
Other - Last Name:PERLEY-DOWD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH, FASCP
Mailing Address - Street 1:1757 PIERCE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33460-6041
Mailing Address - Country:US
Mailing Address - Phone:561-582-6656
Mailing Address - Fax:
Practice Address - Street 1:6600 HYPOLUXO ROAD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33462
Practice Address - Country:US
Practice Address - Phone:561-964-7866
Practice Address - Fax:561-964-7887
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS21426183500000X
FLPU3018183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist