Organization
J & M BOWLES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY MICHAEL BOWLES DPH (PHARMACIST/OWNER)
(405) 330-1089
Entity
Organization
Contact information
Practice address
2200 W 15TH ST, EDMOND, OK 73013
(405) 330-1089
(405) 330-1092
Mailing address
820 WEST DANFORTH ROAD #A4, EDMOND, OK 73003
(405) 330-1089
(405) 330-1092
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
1-6149
OK
333600000X
Pharmacy
Primary
7-8058
OK
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200473380A
—
OK
Enumeration date
01/21/2013
Last updated
01/07/2022
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