Organization
COWAN DRUGS INC
Active
Other names
Parkside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUANN ROBERTSON RPH (OWNER)
(765) 482-1600
Entity
Organization
Contact information
Practice address
1639 N LEBANON ST, LEBANON, IN 46052
(765) 482-1600
(765) 482-4561
Mailing address
1639 N LEBANON ST, LEBANON, IN 46052
(765) 482-1600
(765) 482-4561
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60002935A
IN
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294050
—
IN
Enumeration date
09/05/2006
Last updated
03/28/2022
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