Individual
VICKI DIANE COWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 S PARK ST, CARROLLTON, GA 30117-4433
(770) 832-9015
(770) 830-5521
Mailing address
2386 CLEM LOWELL RD, CARROLLTON, GA 30116-6235
(770) 328-8389
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
015497
GA
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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