Provider Demographics
NPI:1396963765
Name:MCDOWELL, ROBERT JOHN (BS , RPH)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOHN
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:BS , RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 555
Mailing Address - Street 2:
Mailing Address - City:CUMMAQUID
Mailing Address - State:MA
Mailing Address - Zip Code:02637-0555
Mailing Address - Country:US
Mailing Address - Phone:508-744-7337
Mailing Address - Fax:508-775-3846
Practice Address - Street 1:520 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3576
Practice Address - Country:US
Practice Address - Phone:508-775-9211
Practice Address - Fax:508-775-3846
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17446183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist