Provider Demographics
NPI:1174807176
Name:LOWRY, JASON BRISCOE JR (RPH)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:BRISCOE
Last Name:LOWRY
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 MCLEAN DR
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2636
Mailing Address - Country:US
Mailing Address - Phone:843-862-6007
Mailing Address - Fax:
Practice Address - Street 1:611 HWY 301 N
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2636
Practice Address - Country:US
Practice Address - Phone:843-774-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-10
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5205183500000X
NC8630183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist