Herbert Bruce Bowman | Albuquerque, NM • PECOS Search

Herbert Bruce Bowman

Pharmacist

Pharmacy Service Providers

3621 Mary Ellen St NE, Albuquerque, NM 87111-4803

PECOS Enrollment

Based on the most recent information from CMS, provider Herbert Bruce Bowman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1700208675
Provider Type
Individual
Full Name
Bowman, Herbert Bruce
Credential
RPH

Gender
Male
Sole Proprietor
No
Enumeration Date
1/13/2014
Last Updated
1/13/2014

Contact Information

Practice Location

3621 Mary Ellen St NE, Albuquerque, NM 87111-4803

Unlisted Fax

Mailing Location

3621 Mary Ellen St NE, Albuquerque, NM 87111-4803

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 004140 New Mexico