Provider Demographics
NPI:1902073372
Name:POWELL, LORNE SUTTON (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LORNE
Middle Name:SUTTON
Last Name:POWELL
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:HC #1 BOX 30
Mailing Address - Street 2:BUSINESS ROUTE 209 & BOSSARDVILLE RD
Mailing Address - City:SCIOTA
Mailing Address - State:PA
Mailing Address - Zip Code:18354
Mailing Address - Country:US
Mailing Address - Phone:570-992-6300
Mailing Address - Fax:
Practice Address - Street 1:HC #1 BOX 30
Practice Address - Street 2:BUSINESS ROUTE 209 & BOSSARDVILLE RD
Practice Address - City:SCIOTA
Practice Address - State:PA
Practice Address - Zip Code:18354
Practice Address - Country:US
Practice Address - Phone:570-992-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP030792Y183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist