Provider Demographics
NPI:1386036747
Name:BOWEN, LEIGH ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 34TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-3609
Mailing Address - Country:US
Mailing Address - Phone:727-323-2911
Mailing Address - Fax:727-323-7163
Practice Address - Street 1:7491 4TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-5407
Practice Address - Country:US
Practice Address - Phone:727-528-2123
Practice Address - Fax:727-528-2132
Is Sole Proprietor?:No
Enumeration Date:2015-02-23
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS45668183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist