Provider Demographics
NPI:1649046202
Name:BOWLING FAMILY PHARMACY LLC
Entity type:Organization
Organization Name:BOWLING FAMILY PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:BOWLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-546-2210
Mailing Address - Street 1:314 TREUHAFT BLVD
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-7313
Mailing Address - Country:US
Mailing Address - Phone:606-546-2210
Mailing Address - Fax:606-546-2280
Practice Address - Street 1:314 TREUHAFT BLVD
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-7313
Practice Address - Country:US
Practice Address - Phone:606-546-2210
Practice Address - Fax:606-546-2280
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOWLING FAMILY PHARMACY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy