Provider Demographics
NPI:1194321273
Name:BOWMAN, JOHN CRAIG II (PHARMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:CRAIG
Last Name:BOWMAN
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6864 PENINSULA CT NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-8791
Mailing Address - Country:US
Mailing Address - Phone:616-835-5335
Mailing Address - Fax:
Practice Address - Street 1:201 MARCELL DR NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-1364
Practice Address - Country:US
Practice Address - Phone:616-863-9376
Practice Address - Fax:616-863-9402
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302040097183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist