Individual
DR. CRYSTAL BOWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22595 N HIGHWAY 411, MICANOPY, FL 32667
(352) 234-0450
Mailing address
22595 N HIGHWAY 411, MICANOPY, FL 32667
(352) 234-0450
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
30003
FL
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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