1275640021 NPI number — MR. MARTIN LANE LOWE PHARMACIST

Table of content: MR. MARTIN LANE LOWE PHARMACIST (NPI 1275640021)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275640021 NPI number — MR. MARTIN LANE LOWE PHARMACIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LOWE
Provider First Name:
MARTIN
Provider Middle Name:
LANE
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
PHARMACIST
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275640021
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21713 CARTERS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC CALLA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35111-1074
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-554-3737
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
TUSCALOOSA VA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
3701 LOOP ROAD
Provider Business Practice Location Address City Name:
TUSCALOOSA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-554-3737
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  10626 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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