NPI 1417328345

Ellen Bowman

Practitioner Pharmacist Warrensburg, MO

Practice location

Address: 509 Burkarth Rd, Warrensburg, MO 64093-3103
Phone: (660) 474-9171
Mailing address: 9701 E 71st Ter, Raytown, MO 64133-6544

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 20150321621 (MO)

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Registry record

NPI: 1417328345
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2015
Record last updated: 19 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.