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Individual
EATHEL L. BOWEN
Active
Individual
EATHEL L. BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
006588
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006588
STATE PHARMACY LICENSE
SC
Enumeration date
04/23/2010
Last updated
08/05/2015
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