# COWAN DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARKSIDE PHARMACY (LTC)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134095003
- **Authorized official:** LUANN COWAN ROBERTSON (OWNER)
- **Authorized official phone:** (765) 482-1600

## Contact information

- **Practice address:** 1639 N LEBANON ST, LEBANON, IN 46052-1515
- **Practice address phone:** (765) 482-1600
- **Practice address fax:** (765) 482-4561
- **Mailing address:** 1639 N LEBANON ST, LEBANON, IN 46052-1515
- **Mailing address phone:** (765) 482-1600
- **Mailing address fax:** (765) 482-4561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2025
- **Last updated:** 10/16/2025