MEDICARE: MRS. DANA PARSONS BOWMAN RPH

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	13288	NC

General Provider Information

NPI Number	:	1942536404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA PARSONS BOWMAN RPH

Provider Business Mailing Address
First Line	:	102 N PATTERSON ST
Second Line	:
City	:	MAXTON
State	:	NC
Zip	:	28364-1735
Country	:	US
Telephone Number	:	910-844-3100
Fax Number	:	910-844-3017

Provider Business Practice Location Address
First Line	:	102 N PATTERSON ST
Second Line	:
City	:	MAXTON
State	:	NC
Zip	:	28364-1735
Country	:	US
Telephone Number	:	910-844-3100
Fax Number	:	910-844-3017

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

Provider Enumeration Date	:	10/19/2009
Last Update Date	:	10/19/2009

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