Bowles, Jeremy Wade

Bowles, Jeremy Wade is an individual health care provider with primary practice located at 1493 Madison St , Clarksville TN 37040-3845. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bowles, Jeremy Wade can be contacted via phone (931) 551-9948.

Contact Information

Primary practice address
1493 Madison St Clarksville TN 37040-3845
Phone: (931) 551-9948
Fax: (931) 551-9612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 24501 Tennessee

Profile Details

NPI number 1386871242
LBN Legal business name Bowles, Jeremy Wade
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2009
Last updated Jun 18th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386871242 NPPES
Tennessee Other 24501 BOARD OF PHARMACY

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