Provider Demographics
NPI:1760762207
Name:BOWIE, JOHN LESTER (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:LESTER
Last Name:BOWIE
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 1:1872 E PYLE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-6870
Mailing Address - Country:US
Mailing Address - Phone:702-232-3126
Mailing Address - Fax:702-617-9987
Practice Address - Street 1:871 GRIER DR
Practice Address - Street 2:SUITE C
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-3760
Practice Address - Country:US
Practice Address - Phone:702-951-6900
Practice Address - Fax:702-214-2621
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13701183500000X
CARPH 49848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist