Organization
COWAN PHARMACY LLC
Active
Other names
Conyers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE H FAIRCHILD (OWNER/PHARMACIST)
(770) 929-1414
Entity
Organization
Contact information
Practice address
1179 WEST AVE SW, CONYERS, GA 30012-5280
(770) 929-1414
(770) 929-3002
Mailing address
1179 WEST AVE SW, CONYERS, GA 30012-5280
(770) 929-1414
(770) 929-3002
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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