Individual
JOHN BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4991 HIGHWAY 51 N, HORN LAKE, MS 38637-8717
(662) 393-8564
Mailing address
4991 HIGHWAY 51 N, HORN LAKE, MS 38637-8717
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0000042402
TN
183500000X
Pharmacist
Primary
E-15552
MS
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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