Mary Fowler, RPH
Individual provider Active NPI Pharmacist · Harrison, MI
NPI 1861924342 · NPPES record last updated Apr 3, 2017
Key facts
- NPI
- 1861924342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302023675 (MI)
- Practice address
- 182 N 2ND St # 604
Harrison, MI 48625-2545 - Phone
- (989) 539-2900
- Fax
- (989) 368-1304
- NPI assigned
- Apr 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 5302023675 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Family Pharmacy PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302023675 | MI | Yes |
Addresses
Primary practice location
182 N 2ND St # 604
Harrison, MI 48625-2545
Mailing address
182 N 2ND St
PO Box 604
Harrison, MI 48625-2545
Phone (989) 539-2900
Other providers in Harrison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2017. 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.