Provider Demographics
NPI:1821390691
Name:BOWLES, PENNY ORR (RPH)
Entity type:Individual
Prefix:MRS
First Name:PENNY
Middle Name:ORR
Last Name:BOWLES
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 1:87 ORR DR
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2264
Mailing Address - Country:US
Mailing Address - Phone:540-943-7995
Mailing Address - Fax:
Practice Address - Street 1:245 ARCH AVE
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-4658
Practice Address - Country:US
Practice Address - Phone:540-942-1158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-29
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202009425183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist