MEDICARE: LEIGH ANNE BOWEN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PS45668	FL

General Provider Information

NPI Number	:	1386036747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH ANNE BOWEN PHARMD

Provider Business Mailing Address
First Line	:	2139 34TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-3609
Country	:	US
Telephone Number	:	727-323-2911
Fax Number	:	727-323-7163

Provider Business Practice Location Address
First Line	:	7491 4TH ST N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33702-5407
Country	:	US
Telephone Number	:	727-528-2123
Fax Number	:	727-528-2132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2015
Last Update Date	:	09/22/2023

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Directions to “ LEIGH ANNE BOWEN PHARMD” Practice Location

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