Individual
JOHNNY LYNN COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 NORTH HWY 27, WHITLEY CITY, KY 42653
(606) 376-3307
Mailing address
510 BRIARWOOD TRCE, CORBIN, KY 40701-9499
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8153
KY
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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