Organization
BOWIE PHARMACY INC
Active
Organization
BOWIE PHARMACY INC
Active
Other names
BOWIE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ADENIKE SULE KORKI RPH (OWNER)
(301) 860-0800
Entity
Organization
Contact information
Practice address
14999 HEALTH CENTER DR, STE 201, BOWIE, MD 20716-1074
(410) 860-0800
(410) 860-1301
Mailing address
14999 HEALTH CENTER DR, STE 201, BOWIE, MD 20716-1074
(410) 860-0800
(410) 860-1301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P02567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101101400
—
MD
01
—
2125169
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2006
Last updated
04/13/2011
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