Provider Demographics
NPI:1457332728
Name:BOWMAN, JAMES M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:BOWMAN
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 1:1113 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-2256
Mailing Address - Country:US
Mailing Address - Phone:704-932-9111
Mailing Address - Fax:704-932-2270
Practice Address - Street 1:1113 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081
Practice Address - Country:US
Practice Address - Phone:704-932-9111
Practice Address - Fax:704-932-2270
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC17170OtherSTATE LICENSE NUMBER