Individual
JEREMY BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4797
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 535-4797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6295
ID
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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