NPI Code Details Logo

NPI 1558454421

NPI 1558454421 : BOWERS PRESCRIPTION LLC : DALHART, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558454421
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BOWERS PRESCRIPTION LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/02/2006
-----------------------------------------------------
    Last Update Date     |    03/10/2022
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    121 E TEXAS BLVD 
-----------------------------------------------------
    City                 |    DALHART
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79022-4319
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    806-249-4343
-----------------------------------------------------
    Fax                  |    806-244-4342
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    121 E TEXAS BLVD 
-----------------------------------------------------
    City                 |    DALHART
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    79022-4319
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    806-249-4343
-----------------------------------------------------
    Fax                  |    806-244-4342
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/MGR
-----------------------------------------------------
    Name                 |     PATRICIA  MILLER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    806-249-4343
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    3336L0003X
-----------------------------------------------------
    Taxonomy Name        |    Long Term Care Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    3336C0003X
-----------------------------------------------------
    Taxonomy Name        |    Community/Retail Pharmacy
-----------------------------------------------------
    License Number       |    26668
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.