Individual
DANIEL TIMOTHY COWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2656
Mailing address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2656
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20569
NV
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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