Provider Demographics
NPI:1790961357
Name:BOWSER, HARRY JOSEPH JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:JOSEPH
Last Name:BOWSER
Suffix:JR
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 1:3345 CLOVER PL
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-5056
Mailing Address - Country:US
Mailing Address - Phone:909-773-0113
Mailing Address - Fax:
Practice Address - Street 1:12101 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2421
Practice Address - Country:US
Practice Address - Phone:909-591-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist