Individual
MEGAN DAWN KOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1131 BALLARD LN, KIMBERLY, ID 83341-5170
(208) 731-2640
Mailing address
1131 BALLARD LN, KIMBERLY, ID 83341-5170
(208) 731-2640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6702
ID
Other
Enumeration date
07/20/2008
Last updated
07/20/2008
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