Provider Demographics
NPI:1497845598
Name:BOWMAN, ANN MARIE (PHARMACIST RPH)
Entity Type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:
Last Name:BOWMAN
Suffix:
Gender:F
Credentials:PHARMACIST RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 SANDELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1344
Mailing Address - Country:US
Mailing Address - Phone:716-688-2374
Mailing Address - Fax:
Practice Address - Street 1:48 SANDELWOOD DR
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1344
Practice Address - Country:US
Practice Address - Phone:716-688-2374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027627183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY027627OtherSTATE PHARMACY LICENSE