Provider Demographics
NPI:1922074855
Name:LOWE DRUG COMPANY
Entity Type:Organization
Organization Name:LOWE DRUG COMPANY
Other - Org Name:MARRS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HEFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:816-229-7755
Mailing Address - Street 1:205 R.D. MIZE ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014
Mailing Address - Country:US
Mailing Address - Phone:816-229-7755
Mailing Address - Fax:816-229-1052
Practice Address - Street 1:205 R.D. MIZE ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014
Practice Address - Country:US
Practice Address - Phone:816-229-7755
Practice Address - Fax:816-229-1052
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOWE DRUG COMPANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-28
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO5804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty