Individual
DIANA MARIE COWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-3095
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-3095
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302042566
MI
1835P1200X
Pharmacotherapy Pharmacist
5302042566
MI
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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