Provider Demographics
NPI:1881951671
Name:LOWREY, JILL MARIE (RPH)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:MARIE
Last Name:LOWREY
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 1:335 UPPER MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:VT
Mailing Address - Zip Code:05445-9017
Mailing Address - Country:US
Mailing Address - Phone:802-238-0797
Mailing Address - Fax:
Practice Address - Street 1:115B MONKTON RD
Practice Address - Street 2:
Practice Address - City:VERGENNES
Practice Address - State:VT
Practice Address - Zip Code:05491-9778
Practice Address - Country:US
Practice Address - Phone:802-877-3148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0330003032183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist