Provider Demographics
NPI:1235367293
Name:BOWEN, CRAIG A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:BOWEN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02830-0346
Mailing Address - Country:US
Mailing Address - Phone:401-569-7734
Mailing Address - Fax:401-568-7563
Practice Address - Street 1:405 LAPHAM FARM RD
Practice Address - Street 2:
Practice Address - City:PASCOAG
Practice Address - State:RI
Practice Address - Zip Code:02859-4017
Practice Address - Country:US
Practice Address - Phone:401-569-7734
Practice Address - Fax:401-567-7563
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRPH03047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist