Gale Eugene Gower Jr., RPH
Individual provider Active NPI Pharmacist · Robinson, IL
NPI 1154921153 · NPPES record last updated Oct 28, 2020
Key facts
- NPI
- 1154921153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0510037458 (IL)
- Practice address
- 1304 E Main St
Robinson, IL 62454-3729 - Phone
- (618) 544-8522
- Fax
- (618) 544-8796
- NPI assigned
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0510037458 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0510037458 | IL | Yes |
Addresses
Primary practice location
1304 E Main St
Robinson, IL 62454-3729
Mailing address
1304 E Main St
Robinson, IL 62454-3729
Phone (618) 544-8522
Other providers in Robinson, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.