Provider Demographics
NPI:1841493889
Name:WILLIAMS-LOWE, MARVA (PHARMD)
Entity type:Individual
Prefix:
First Name:MARVA
Middle Name:
Last Name:WILLIAMS-LOWE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-5590
Mailing Address - Fax:603-650-4454
Practice Address - Street 1:DARTMOUTH-HITCHCOCK MEDICAL CENTER
Practice Address - Street 2:1 MEDICAL CENTER DRIVE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756
Practice Address - Country:US
Practice Address - Phone:603-650-6808
Practice Address - Fax:603-650-4454
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2663183500000X
MA21714183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist