Provider Demographics
NPI:1710233580
Name:BOWMAN, DAVID EARL (RPH)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:EARL
Last Name:BOWMAN
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 1:803 BURKESVILLE ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:KY
Mailing Address - Zip Code:42728-1655
Mailing Address - Country:US
Mailing Address - Phone:270-384-2117
Mailing Address - Fax:270-384-5636
Practice Address - Street 1:803 BURKESVILLE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:KY
Practice Address - Zip Code:42728-1655
Practice Address - Country:US
Practice Address - Phone:270-384-2117
Practice Address - Fax:270-384-5636
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7325183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist