MEDICARE: TACOA BOWLING

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	183700000X	Pharmacy Technician

General Provider Information

NPI Number	:	1417960691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TACOA BOWLING

Provider Business Mailing Address
First Line	:	207 FLETCHER
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-1050
Country	:	US
Telephone Number	:	734-763-3422
Fax Number	:	734-647-8777

Provider Business Practice Location Address
First Line	:	207 FLETCHER
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-1050
Country	:	US
Telephone Number	:	734-763-3422
Fax Number	:	734-647-8777

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1043277395 — SHAMOLI KHANDERIA DO
Practice Location Address:

207 FLETCHER ST
ANN ARBOR, MI
48109-1050

Practice Phone: 734-764-8320
Practice Fax: 734-763-7505

1689616310 — DR. JANICE G. FARREHI MD
Practice Location Address:

207 FLETCHER ST
ANN ARBOR, MI
48109-1050

Practice Phone: 734-764-8320
Practice Fax:

1982637096 — ANTHONY C DSILVA M.D.
Practice Location Address:

207 FLETCHER ST
ANN ARBOR, MI
48109-1050

Practice Phone: 734-764-8320
Practice Fax: 734-763-7505

1659384923 — GWENDOLYN ANN CHIVERS RPH
Practice Location Address:

207 FLETCHER
ANN ARBOR, MI
48109-1050

Practice Phone: 734-763-3422
Practice Fax: 734-647-8777

1851304125 — THEODORE EDWARD BEIMEL RPH
Practice Location Address:

207 FLETCHER
ANN ARBOR, MI
48109-1050

Practice Phone: 734-763-3422
Practice Fax: 734-647-8777

1023021292 — IRENE BIRUTA KOSS RPH
Practice Location Address:

207 FLETCHER
ANN ARBOR, MI
48109-1050

Practice Phone: 734-763-3422
Practice Fax: 734-647-8777

Directions to “ TACOA BOWLING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.