Provider Demographics
NPI:1356058754
Name:BOWSER, KIARRA MICHELLE (RPH)
Entity type:Individual
Prefix:
First Name:KIARRA
Middle Name:MICHELLE
Last Name:BOWSER
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 1:4115 TARRANT TRACE CIR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-3616
Mailing Address - Country:US
Mailing Address - Phone:336-456-6082
Mailing Address - Fax:
Practice Address - Street 1:5005 MACKAY RD
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NC
Practice Address - Zip Code:27282-9398
Practice Address - Country:US
Practice Address - Phone:336-257-4788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC31783183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist