Provider Demographics
NPI:1396804589
Name:BOWDER, RANDEE (RPH)
Entity type:Individual
Prefix:
First Name:RANDEE
Middle Name:
Last Name:BOWDER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 STATE ST
Mailing Address - Street 2:#2
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1803
Mailing Address - Country:US
Mailing Address - Phone:541-436-2575
Mailing Address - Fax:
Practice Address - Street 1:606 STATE ST
Practice Address - Street 2:#2
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1803
Practice Address - Country:US
Practice Address - Phone:541-436-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0010839183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist