Individual
MRS. LISA J COWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
(888) 749-9096
Mailing address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
(888) 749-9096
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P4947
ID
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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