IndividualActive
Crystal Bowman
NPI 1487316915 · Pharmacist · Micanopy, FL
Provider details
- NPI number
- 1487316915
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 30003 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
22595 N Highway 411
Micanopy, FL 32667
Phone: (352) 234-0450
Approximate (ZIP-level) locationGet directions
Mailing address
22595 N Highway 411
Micanopy, FL 32667
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-10-12
- Certified
- 2021-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.