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NPI Code Detail

MEDICARE: MR. WILLIAM DOUGLAS BOWEN RPH

MEDICARE:  MR. WILLIAM DOUGLAS BOWEN  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist12994-040WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112994-040OTHERWIPHARMACIST

General Provider Information

NPI Number : 1154494268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM DOUGLAS BOWEN RPH
Provider Business Mailing Address
First Line : 1875 MONROE ST
Second Line :
City : MADISON
State : WI
Zip : 53711-2024
Country : US
Telephone Number : 608-256-8712
Fax Number : 608-256-3027
Provider Business Practice Location Address
First Line : 1875 MONROE ST
Second Line :
City : MADISON
State : WI
Zip : 53711-2024
Country : US
Telephone Number : 608-256-8712
Fax Number : 608-256-3027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2006
Last Update Date : 09/21/2010

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Directions to “ MR. WILLIAM DOUGLAS BOWEN RPH” Practice Location

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