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NPI Code Detail

MEDICARE: MRS. MAYBELLE M BOWENS R.PH.

MEDICARE: MRS. MAYBELLE M BOWENS R.PH.
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
1183500000XPharmacist28254MO

General Provider Information

NPI Number : 1427042977
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MAYBELLE M BOWENS R.PH.
Provider Business Mailing Address
First Line : 1701 E 59TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64110-3213
Country : US
Telephone Number : 816-363-7864
Fax Number :
Provider Business Practice Location Address
First Line : 825 EUCLID AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64124-2323
Country : US
Telephone Number : 816-889-4654
Fax Number : 816-842-6227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/08/2007

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