Provider Demographics
NPI:1912399973
Name:BOWEN, BARBARA LUCILE (RPH)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LUCILE
Last Name:BOWEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11424 SAVANNAH LAKES DR
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-2303
Mailing Address - Country:US
Mailing Address - Phone:941-961-0110
Mailing Address - Fax:
Practice Address - Street 1:11424 SAVANNAH LAKES DR
Practice Address - Street 2:
Practice Address - City:PARRISH
Practice Address - State:FL
Practice Address - Zip Code:34219-2303
Practice Address - Country:US
Practice Address - Phone:941-961-0110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-28
Last Update Date:2015-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0043051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist