MR. Blake Lee Gowen, R.PH.

NPI #1982741401 in Decatur, Alabama

Provider Information

NPI Number: 1982741401
Entity Type: Individual
Name: MR. Blake Lee Gowen, R.PH.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Jan 31, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1207 MEDICAL DR SE
City: Decatur
State: Alabama
ZIP Code: 35601-4330
Phone: (256) 353-5011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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