Individual
HEATHER MARIE MCKOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
4315 MAIN ST, PORT HENRY, NY 12974-1339
(518) 546-7244
Mailing address
95 FURNACE RD, MORIAH, NY 12960-2308
(518) 354-7081
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30121829
NY
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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