Provider Demographics
NPI:1891776290
Name:RICHARD M BOWIE
Entity Type:Organization
Organization Name:RICHARD M BOWIE
Other - Org Name:BOWIES DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:BOWIE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:205-221-4090
Mailing Address - Street 1:5100 CURRY HWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35503-5865
Mailing Address - Country:US
Mailing Address - Phone:205-221-4090
Mailing Address - Fax:205-295-1521
Practice Address - Street 1:5100 CURRY HWY
Practice Address - Street 2:SUITE 150
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35503-5865
Practice Address - Country:US
Practice Address - Phone:205-221-4090
Practice Address - Fax:205-295-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-11
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009932736Medicaid
AL009932736Medicaid