Venita Lynn Bowie, PHARM.D.

Individual provider Active NPI Pharmacotherapy Pharmacist · Converse, TX

NPI 1164629374 · NPPES record last updated Jan 6, 2010

Key facts

NPI
1164629374
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
051290467 (IL)
Practice address
8419 Cherisse Dr
Converse, TX 78109-3556
Phone
(210) 474-6791
Fax
(210) 921-3236
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051290467ILMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 051290467 IL Yes

Addresses

Primary practice location

8419 Cherisse Dr
Converse, TX 78109-3556

Mailing address

8419 Cherisse Dr
Converse, TX 78109-3556
Phone (210) 474-6791

Other names

  • Miss Venita Lynn Bowie Other name

Other providers in Converse, TX

All providers in Converse, TX · Pharmacotherapy Pharmacist in Texas

Sources for this page

Verify at the official NPI Registry.