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General NPI Number Information
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NPI Number | 1043604564
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Entity Type | Organization
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Legal Business Name | BOWLING GREEN & ASSOC, LLC
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 20 S FEDERAL HWY
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City | DANIA
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State | FL
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Zip | 33004-3605
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Country | US
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Telephone | 954-551-8572
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Fax |
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Provider Business Mailing Address
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Address Line | 20 S FEDERAL HWY
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City | DANIA
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State | FL
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Zip | 33004-3605
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Country | US
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Telephone | 954-551-8572
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | CRAIG LOWY
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Credential |
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Telephone | 954-551-8572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH28971
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License Number State | FL
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