Provider Demographics
NPI:1427688530
Name:BOWLER, EMILY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:BOWLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 LOADER DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3116
Mailing Address - Country:US
Mailing Address - Phone:801-913-8320
Mailing Address - Fax:
Practice Address - Street 1:2353 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SUNSET
Practice Address - State:UT
Practice Address - Zip Code:84015-2454
Practice Address - Country:US
Practice Address - Phone:801-825-2262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV197871835P0018X
UT56629301835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist