Organization
COWAN PHARMACY LLC
Active
Other names
Cowan Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MYLINH NGUYEN (OWNER)
(540) 656-2989
Entity
Organization
Contact information
Practice address
2571 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 656-2989
(540) 370-8990
Mailing address
2571 COWAN BLVD, FREDERICKSBURG, VA 22401-8440
(540) 656-2989
(540) 370-8990
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
0201004460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133424
PK
—
Enumeration date
12/27/2011
Last updated
01/24/2017
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