Provider Demographics
NPI:1780954115
Name:OWEN, ANNETTE DONIE (RPH)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:DONIE
Last Name:OWEN
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 1:317 BLUE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4763
Mailing Address - Country:US
Mailing Address - Phone:270-978-1222
Mailing Address - Fax:
Practice Address - Street 1:3450 HENDERSONVILLE RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-8234
Practice Address - Country:US
Practice Address - Phone:828-684-2331
Practice Address - Fax:828-687-0892
Is Sole Proprietor?:No
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20172183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist