Provider Demographics
NPI:1508967555
Name:BOWERS, JULIA SHREDER (RPH)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:SHREDER
Last Name:BOWERS
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 1:1200 BRANSON HILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-9943
Mailing Address - Country:US
Mailing Address - Phone:417-243-4513
Mailing Address - Fax:417-243-4514
Practice Address - Street 1:1200 BRANSON HILLS PKWY
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-9943
Practice Address - Country:US
Practice Address - Phone:417-243-4513
Practice Address - Fax:417-243-4514
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037877183500000X
MO2014030493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist