Provider Demographics
NPI:1942536404
Name:BOWMAN, DANA PARSONS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:PARSONS
Last Name:BOWMAN
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 1:102 N PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:MAXTON
Mailing Address - State:NC
Mailing Address - Zip Code:28364-1735
Mailing Address - Country:US
Mailing Address - Phone:910-844-3100
Mailing Address - Fax:910-844-3017
Practice Address - Street 1:102 N PATTERSON ST
Practice Address - Street 2:
Practice Address - City:MAXTON
Practice Address - State:NC
Practice Address - Zip Code:28364-1735
Practice Address - Country:US
Practice Address - Phone:910-844-3100
Practice Address - Fax:910-844-3017
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13288183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist