Individual
DR. COREY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHAMD
Contact information
Practice address
800 ROSE STREET, LEXINGTON, KY 40536
(859) 330-1230
Mailing address
3901 RAPID RUN DRIVE, APT. 816, LEXINGTON, KY 40515
(803) 528-8818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35589
SC
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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