Provider Demographics
NPI:1942901848
Name:BOWERS, WILLIAM PENDARVIS (RPH)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PENDARVIS
Last Name:BOWERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 DAME KATHRYN DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-1604
Mailing Address - Country:US
Mailing Address - Phone:912-429-5828
Mailing Address - Fax:
Practice Address - Street 1:18 DAME KATHRYN DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-1604
Practice Address - Country:US
Practice Address - Phone:912-429-5828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-16
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6718183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist