Provider Demographics
NPI:1275967846
Name:BOWEN-MCDUFFEY, TONI LYNN (RPH)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:LYNN
Last Name:BOWEN-MCDUFFEY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 SW 172ND TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-4000
Mailing Address - Country:US
Mailing Address - Phone:305-975-8664
Mailing Address - Fax:305-234-0022
Practice Address - Street 1:11000 SW 172ND TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-4000
Practice Address - Country:US
Practice Address - Phone:305-975-8664
Practice Address - Fax:305-234-0022
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29486183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist