Provider Demographics
NPI:1306113394
Name:COWNE, STEPHEN MICHAEL (RPH)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:MICHAEL
Last Name:COWNE
Suffix:
Gender:M
Credentials:RPH
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Mailing Address - Street 1:1122 RANDOLPH STREET
Mailing Address - Street 2:KMART PHARMACY #3295
Mailing Address - City:THOMASVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27360
Mailing Address - Country:US
Mailing Address - Phone:336-476-8190
Mailing Address - Fax:336-476-5042
Practice Address - Street 1:1122 RANDOLPH STREET
Practice Address - Street 2:KMART PHARMACY #3295
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-5175
Practice Address - Country:US
Practice Address - Phone:336-476-8190
Practice Address - Fax:336-476-5042
Is Sole Proprietor?:No
Enumeration Date:2011-11-19
Last Update Date:2011-11-19
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Provider Licenses
StateLicense IDTaxonomies
NC06854183500000X
KY007470183500000X
AL14656183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist