| Doctor Name: | TALMADGE RAY LOWE |
| NPI Number: | 1750458857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHARMACIST |
| License Number: | PS 11429 |
| Business Practice Address: | 34 Stately Shoals Trl Ponte Vedra, FL - 320815053 |
| Business Phone Number: | 9048238626 |
| Business Fax Number: | |
| Mailing Address: | 34 Stately Shoals Trl, PONTE VEDRA |
| State: | FL |
| Postal Code: | 320815053 |
| Phone Number: | 9048238626 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 06/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835N1003X |
| License Number: | PS 11429 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |