Individual
MR. JACK L BOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
813 W PARK AVE, GREENWOOD, MS 38930-2824
(662) 455-3527
(662) 455-2142
Mailing address
813 W PARK AVE, GREENWOOD, MS 38930-2824
(622) 455-3527
(662) 455-2142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
D6812
MS
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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