Provider Demographics
NPI:1609932326
Name:JOWERS, GERALD LAMAR (RPH)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:LAMAR
Last Name:JOWERS
Suffix:
Gender:M
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:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:AL
Mailing Address - Zip Code:36017-0460
Mailing Address - Country:US
Mailing Address - Phone:334-397-2023
Mailing Address - Fax:334-397-2029
Practice Address - Street 1:1199 BLUE SPRINGS STREET
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:AL
Practice Address - Zip Code:36017-0460
Practice Address - Country:US
Practice Address - Phone:334-397-2023
Practice Address - Fax:334-397-2029
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL7591183500000X
FL13407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL7591OtherAL BOARD OF PHARMACY
FL13407OtherFL BOARD OF PHARMACY