Individual
JESSICA LYNN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
600 MAIN ST, MUNFORDVILLE, KY 42765-9424
(270) 524-3081
Mailing address
600 MAIN ST, MUNFORDVILLE, KY 42765-9424
(270) 524-3081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014593
KY
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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