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Individual

BLAINE BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2850
Mailing address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202212524
VA
183500000X
Pharmacist
Primary
34219
TN

Other

Enumeration date
12/31/2020
Last updated
12/31/2020
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