Individual
ROBERT GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
50 COTTAGE RD, SOUTH PORTLAND, ME 04106-3606
(207) 799-4023
(207) 799-4642
Mailing address
50 COTTAGE RD, SOUTH PORTLAND, ME 04106-3606
(207) 779-4023
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
000002970
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000002970
STATE OF MAINEG
ME
Enumeration date
12/13/2020
Last updated
12/13/2020
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