Healthcare Provider Details

I. General information

NPI: 1497280549
Provider Name (Legal Business Name): BOWIES EXPRESS CARE PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 05/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 CURRY HWY STE A150
JASPER AL
35503-5865
US

IV. Provider business mailing address

5100 CURRY HWY STE A150
JASPER AL
35503-5865
US

V. Phone/Fax

Practice location:
  • Phone: 888-333-1290
  • Fax: 866-503-1278
Mailing address:
  • Phone: 888-333-1290
  • Fax: 866-503-1278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM AUSTIN
Title or Position: DIRECTOR
Credential:
Phone: 888-980-1985