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NPI Code Detail

MEDICARE: MR. DAVID GENE BOWYER R.PH.

MEDICARE: MR. DAVID GENE BOWYER 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
1183500000XPharmacistRP0004593WV

General Provider Information

NPI Number : 1801911573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID GENE BOWYER R.PH.
Provider Business Mailing Address
First Line : HC 80 BOX 219
Second Line :
City : RIPLEY
State : WV
Zip : 25271-9426
Country : US
Telephone Number : 304-372-9208
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MACCORKLE AVE SE
Second Line : UNIVERSITY OF CHARLESTON SCHOOL OF PHARMACY
City : CHARLESTON
State : WV
Zip : 25304-1045
Country : US
Telephone Number : 304-357-4892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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