Jack L Bowles, RPH Valid NPI
Individual provider · Pharmacist · Greenwood, MS
- NPI
- 1639488281
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- D6812 (MS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-09-30
- Last updated
- 2010-09-30
Practice location
813 W Park Ave
Greenwood, MS 38930-2824
(662) 455-3527