Individual
DOUGLAS GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PARK ST, GLENS FALLS, NY 12801-4413
(518) 926-3026
Mailing address
22 DEER RUN, GANSEVOORT, NY 12831-1772
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
055191
NY
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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