Provider Demographics
NPI:1982936423
Name:STOWELL, JULIA A (RPH)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:A
Last Name:STOWELL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:A
Other - Last Name:STOWELL-GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:19648 STATE ROUTE 12F
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-1080
Mailing Address - Country:US
Mailing Address - Phone:315-481-0475
Mailing Address - Fax:
Practice Address - Street 1:905 COFFEEN ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-1816
Practice Address - Country:US
Practice Address - Phone:315-788-9366
Practice Address - Fax:315-782-4955
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047570183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist