Provider Demographics
NPI:1336956440
Name:COWAN, DEBRA LYNN (PHARMD)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:LYNN
Last Name:COWAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 EASTGATE DR
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5171
Mailing Address - Country:US
Mailing Address - Phone:828-586-4605
Mailing Address - Fax:
Practice Address - Street 1:93 EASTGATE DR
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5171
Practice Address - Country:US
Practice Address - Phone:828-586-4605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07672183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist