Individual
DR. JEREMY WADE BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1493 MADISON ST, CLARKSVILLE, TN 37040-3845
(931) 551-9948
(931) 551-9612
Mailing address
1493 MADISON ST, CLARKSVILLE, TN 37040-3845
(931) 551-9948
(931) 551-9612
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24501
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24501
BOARD OF PHARMACY
TN
Enumeration date
06/18/2009
Last updated
06/18/2009
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