Individual
DONNIE RAY BOWMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3411 S NOLAND RD, INDEPENDENCE, MO 64055-1319
(816) 252-0094
Mailing address
9701 E 71ST TER, RAYTOWN, MO 64133-6544
(417) 321-0529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023028924
MO
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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