Individual
MR. KENNETH EARL BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12358 POWAY RD, POWAY, CA 92064-4219
(858) 748-9220
(858) 748-5180
Mailing address
12315 RAGWEED ST, SAN DIEGO, CA 92129-4108
(858) 484-6598
(858) 484-6598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
7525
OR
1835P2201X
Ambulatory Care Pharmacist
Primary
35020
CA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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