Provider Demographics
NPI:1144533951
Name:BOWERS, BILLIE-JO MICHELLE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:BILLIE-JO
Middle Name:MICHELLE
Last Name:BOWERS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 FAWN HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-2823
Mailing Address - Country:US
Mailing Address - Phone:856-207-9147
Mailing Address - Fax:
Practice Address - Street 1:675 WOODBURY GLASSBORO RD
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3733
Practice Address - Country:US
Practice Address - Phone:856-415-2381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02838600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist