Individual
KORY KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3175 25TH ST S, FARGO, ND 58103-6171
(701) 293-6022
(701) 293-6040
Mailing address
103 14TH AVE S, MOORHEAD, MN 56560-4040
(218) 790-1482
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
120806
MN
183500000X
Pharmacist
Primary
RPH5550
ND
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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