Individual
MR. MATT JAMES COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6900 ALDEN DR, FT WARREN AFB, WY 82005-3906
(307) 773-3478
(307) 773-4589
Mailing address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-6807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-12284
KS
183500000X
Pharmacist
3082899-1701
UT
183500000X
Pharmacist
Primary
3132
WY
183500000X
Pharmacist
355787
TX
Other
Enumeration date
12/04/2006
Last updated
04/17/2018
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