Individual
GIZELE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
121 BEN BOLT AVE, TAZEWELL, VA 24651-9703
(276) 988-8758
Mailing address
121 BEN BOLT AVE, TAZEWELL, VA 24651-9703
(276) 988-8758
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202006355
VA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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