Individual
BOWEN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-6000
Mailing address
6574 SAUNDERS ST, 3J, REGO PARK, NY 11374-4254
(646) 204-8199
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
107556
AK
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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