Individual
ELLEN BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 BURKARTH RD, WARRENSBURG, MO 64093-3103
(660) 474-9171
Mailing address
9701 E 71ST TER, RAYTOWN, MO 64133-6544
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20150321621
MO
Other
Enumeration date
10/19/2015
Last updated
10/19/2015
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