Provider Demographics
NPI:1730423377
Name:LOWE, ELIZABETH JANE (RPH)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JANE
Last Name:LOWE
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 1:1372 SE WILLIAMS CT
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-8363
Mailing Address - Country:US
Mailing Address - Phone:515-720-3628
Mailing Address - Fax:
Practice Address - Street 1:1372 SE WILLIAMS CT
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-8363
Practice Address - Country:US
Practice Address - Phone:515-720-3628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-20
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA18708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA352802OtherNABP