Provider Demographics
NPI:1841238672
Name:MCDOWELL, JOHN NELSON (RPH)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NELSON
Last Name:MCDOWELL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10522 CANARY ISLE DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2717
Mailing Address - Country:US
Mailing Address - Phone:813-829-8300
Mailing Address - Fax:800-310-9071
Practice Address - Street 1:1410 N WESTSHORE BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-4500
Practice Address - Country:US
Practice Address - Phone:813-829-8300
Practice Address - Fax:800-310-9071
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist