Healthcare Provider Details

I. General information

NPI: 1912003278
Provider Name (Legal Business Name): CHRISTOPHER CHARLES BOWERS PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 10/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 TREMONT ST DEGRAFF MEMORIAL HOSPITAL, PHARMACY DEPT
NORTH TONAWANDA NY
14120-6150
US

IV. Provider business mailing address

104 HERITAGE RD W
WILLIAMSVILLE NY
14221-2344
US

V. Phone/Fax

Practice location:
  • Phone: 716-690-2233
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number51183
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: