JOHN BOWEN
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1144837857- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4991 HIGHWAY 51 N, HORN LAKE, MS, 386378717
- Phone
- (662) 393-8564
Specialties & Taxonomies
Pharmacist
License: TN #0000042402
Pharmacist
Primary License: MS #E-15552
All Addresses
MAILING
4991 HIGHWAY 51 N
HORN LAKE, MS, 386378717