Provider Demographics
NPI:1376007054
Name:BOWER, DEBRA L (RPH)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:BOWER
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 1:364 HARKINS BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-9010
Mailing Address - Country:US
Mailing Address - Phone:920-540-3139
Mailing Address - Fax:
Practice Address - Street 1:2510 BOILING SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BOILING SPRINGS
Practice Address - State:SC
Practice Address - Zip Code:29316-5385
Practice Address - Country:US
Practice Address - Phone:864-578-0155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-26
Last Update Date:2019-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37636183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist