Individual
JUSTIN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
76 BRONSON RD, SOUTHPORT, CT 06890-1202
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PTN.005501
CT
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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