Organization
TPS RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRION W BOWMAN (COO)
(205) 608-4995
Entity
Organization
Contact information
Practice address
2250 SHIPYARD BLVD STE 11, WILMINGTON, NC 28403-8070
(910) 442-2056
Mailing address
2250 SHIPYARD BLVD STE 11, WILMINGTON, NC 28403-8070
(910) 442-2056
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
11354
NC
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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