Provider Demographics
NPI:1144811688
Name:MCDOWELL, ROSELEAN RENEE (PHARMD)
Entity type:Individual
Prefix:
First Name:ROSELEAN
Middle Name:RENEE
Last Name:MCDOWELL
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 1:5842 MCCLELLAND CT
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8062
Mailing Address - Country:US
Mailing Address - Phone:614-563-5739
Mailing Address - Fax:
Practice Address - Street 1:116 AINSWORTH ST
Practice Address - Street 2:
Practice Address - City:LODI
Practice Address - State:OH
Practice Address - Zip Code:44254-1303
Practice Address - Country:US
Practice Address - Phone:330-984-4413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-29585183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist