Provider Demographics
NPI:1679850507
Name:BOWER, JAMES NATHANIAL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:NATHANIAL
Last Name:BOWER
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:PO BOX HH
Mailing Address - Street 2:
Mailing Address - City:WINNEBAGO
Mailing Address - State:NE
Mailing Address - Zip Code:68071-0767
Mailing Address - Country:US
Mailing Address - Phone:402-878-2231
Mailing Address - Fax:402-878-2231
Practice Address - Street 1:PO BOX HH
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:NE
Practice Address - Zip Code:68071-0767
Practice Address - Country:US
Practice Address - Phone:402-878-2231
Practice Address - Fax:402-878-4206
Is Sole Proprietor?:No
Enumeration Date:2011-11-06
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13697183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist