Provider Demographics
NPI:1679502827
Name:MOWRY, JAMES BRIAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRIAN
Last Name:MOWRY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 N EAST ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:IN
Mailing Address - Zip Code:46052-1835
Mailing Address - Country:US
Mailing Address - Phone:765-482-3217
Mailing Address - Fax:
Practice Address - Street 1:I-65 & 21ST STREET
Practice Address - Street 2:AG373
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46206-1367
Practice Address - Country:US
Practice Address - Phone:317-962-2329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26016242A1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy