Provider Demographics
NPI:1952590457
Name:MCGOWAN, ABBIE L (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ABBIE
Middle Name:L
Last Name:MCGOWAN
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 1:451 HYDE PARK RD
Mailing Address - Street 2:
Mailing Address - City:LEECHBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15656-9417
Mailing Address - Country:US
Mailing Address - Phone:724-845-1880
Mailing Address - Fax:724-845-3471
Practice Address - Street 1:451 HYDE PARK RD
Practice Address - Street 2:
Practice Address - City:LEECHBURG
Practice Address - State:PA
Practice Address - Zip Code:15656-9417
Practice Address - Country:US
Practice Address - Phone:724-845-1880
Practice Address - Fax:724-845-3471
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP440245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist