Individual
DR. DWIGHT ALBEN BOWEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
936 STONE HEDGE CV, COLLIERVILLE, TN 38017-7379
(901) 299-5277
Mailing address
936 STONE HEDGE CV, COLLIERVILLE, TN 38017-7379
(901) 299-5277
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024390A
IN
183700000X
Pharmacy Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2010
Last updated
03/29/2012
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