Individual
CHRIS COWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17550 N 79TH AVE, GLENDALE, AZ 85308-8711
(623) 776-4002
Mailing address
17550 N 79TH AVE, GLENDALE, AZ 85308-8711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012839
AZ
Other
Enumeration date
12/20/2009
Last updated
12/20/2009
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