Individual
JACKIE BOWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
9 MUNICIPAL DR, FISHERS, IN 46038-1615
(317) 840-6599
Mailing address
9 MUNICIPAL DR UNIT 304, FISHERS, IN 46038-1622
(317) 840-6599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020795A
IN
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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