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Organization

BOWSER CORPORATION

Active
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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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