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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