Provider Demographics
NPI:1619761236
Name:CANDLER PHARMACY PC
Entity type:Organization
Organization Name:CANDLER PHARMACY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:912-685-2000
Mailing Address - Street 1:639 S LEWIS ST
Mailing Address - Street 2:
Mailing Address - City:METTER
Mailing Address - State:GA
Mailing Address - Zip Code:30439-5144
Mailing Address - Country:US
Mailing Address - Phone:912-685-2000
Mailing Address - Fax:912-685-2006
Practice Address - Street 1:639 S LEWIS ST
Practice Address - Street 2:
Practice Address - City:METTER
Practice Address - State:GA
Practice Address - Zip Code:30439-5144
Practice Address - Country:US
Practice Address - Phone:912-685-2000
Practice Address - Fax:912-685-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy