Provider Demographics
NPI:1891077483
Name:BOWEN, ROY G JR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:G
Last Name:BOWEN
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 1:5429 NOLENSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6417
Mailing Address - Country:US
Mailing Address - Phone:615-781-6489
Mailing Address - Fax:615-781-9159
Practice Address - Street 1:5429 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-6417
Practice Address - Country:US
Practice Address - Phone:615-781-6489
Practice Address - Fax:615-781-9159
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN33892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist