Individual
MR. CLARK CAIOUS BOWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
110 W GARRISON BLVD, GASTONIA, NC 28052-4330
(704) 864-9787
(704) 864-1443
Mailing address
110 W GARRISON BLVD, GASTONIA, NC 28052-4330
(704) 864-9787
(704) 864-1443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05682
NC
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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