Healthcare Provider Details

I. General information

NPI: 1205833837
Provider Name (Legal Business Name): DEBORAH DENISE BOWERS PHARMD. RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822B E LIBERTY ST
YORK SC
29745-1661
US

IV. Provider business mailing address

822B E LIBERTY ST
YORK SC
29745-1661
US

V. Phone/Fax

Practice location:
  • Phone: 803-628-7934
  • Fax: 803-628-4194
Mailing address:
  • Phone: 803-628-7934
  • Fax: 803-628-4194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number010237
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: