Provider Demographics
NPI:1487941662
Name:BOWER, NORA KATHLEEN (PHARMD)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:KATHLEEN
Last Name:BOWER
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 1:2615 NE 112TH AVE
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-4283
Mailing Address - Country:US
Mailing Address - Phone:360-449-5205
Mailing Address - Fax:360-449-5208
Practice Address - Street 1:2615 NE 112TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98684-4283
Practice Address - Country:US
Practice Address - Phone:360-449-5205
Practice Address - Fax:360-449-5208
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00070951183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist