Individual
KELLY COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 S STATE ST, FAIRMONT, MN 56031-4441
(507) 238-2880
Mailing address
1431 W LAIR RD, FAIRMONT, MN 56031-6005
(612) 655-7666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119254
MN
Other
Enumeration date
10/31/2011
Last updated
03/24/2023
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