Organization
BOWSER CORPORATION
Active
Other names
SHANKELS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BOWSER RPH (OWNER)
(814) 371-9320
Entity
Organization
Contact information
Practice address
241 W LONG AVE, DU BOIS, PA 15801-2105
(814) 371-9320
(814) 371-4556
Mailing address
241 W LONG AVE, DU BOIS, PA 15801-2105
(814) 371-9320
(814) 371-4556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP412256L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007732040001
—
PA
05
—
1072846
—
PA
01
—
2085764
PK
—
Enumeration date
10/02/2006
Last updated
08/29/2024
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