Basic Information
Provider Information
NPI: 1144580135
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KNAPP
FirstName: DIONNE
MiddleName: LOWDER
NamePrefix:  
NameSuffix:  
Credential: PHARMD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 VENTURE TOWER DRIVE
Address2: PO BOX 7224
City: GREENVILLE
State: NC
PostalCode: 278357224
CountryCode: US
TelephoneNumber: 2527442611
FaxNumber: 2527445969
Practice Location
Address1: 101 HEART DRIVE
Address2:  
City: GREENVILLE
State: NC
PostalCode: 27834
CountryCode: US
TelephoneNumber: 2527444611
FaxNumber: 2527442623
Other Information
ProviderEnumerationDate: 05/23/2012
LastUpdateDate: 05/23/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1835P0018X13523NCY Pharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

No ID Information.


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