Provider Demographics
NPI:1447492244
Name:GOWER, KRISTY LYNN (PHARMACIST)
Entity type:Individual
Prefix:MISS
First Name:KRISTY
Middle Name:LYNN
Last Name:GOWER
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:MISS
Other - First Name:KRISTY
Other - Middle Name:LYNN
Other - Last Name:ALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMACIST
Mailing Address - Street 1:2007 W. BEEBE CAPPS EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72143
Mailing Address - Country:US
Mailing Address - Phone:501-305-1000
Mailing Address - Fax:501-305-1002
Practice Address - Street 1:2007 W. BEEBE CAPPS EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143
Practice Address - Country:US
Practice Address - Phone:501-305-1000
Practice Address - Fax:501-305-1002
Is Sole Proprietor?:No
Enumeration Date:2009-03-25
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPI20180183500000X
ARPD11101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist