Provider Demographics
NPI:1588809131
Name:GOWAN, GERI M (DOCTOR OF PHARMACY)
Entity Type:Individual
Prefix:DR
First Name:GERI
Middle Name:M
Last Name:GOWAN
Suffix:
Gender:F
Credentials:DOCTOR OF PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 CANYON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3293
Mailing Address - Country:US
Mailing Address - Phone:254-774-1625
Mailing Address - Fax:254-774-1610
Practice Address - Street 1:937 CANYON CREEK DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-3293
Practice Address - Country:US
Practice Address - Phone:254-774-1625
Practice Address - Fax:254-774-1610
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX379941835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist