Provider Demographics
NPI:1639438823
Name:BOWDEN, MACDONALD SNOW (RPH)
Entity Type:Individual
Prefix:MR
First Name:MACDONALD
Middle Name:SNOW
Last Name:BOWDEN
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 1:410 WINDWARD DR
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7101
Mailing Address - Country:US
Mailing Address - Phone:704-892-7716
Mailing Address - Fax:704-892-7716
Practice Address - Street 1:36 NORTHWEST BLVD
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NC
Practice Address - Zip Code:28658-3900
Practice Address - Country:US
Practice Address - Phone:828-464-8955
Practice Address - Fax:828-464-1965
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9603183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist