NPI 1568520468 · live from the CMS NPI Registry
Matt James Cowan, RPh
Pharmacist in Ft Warren Afb, WY. National Provider Identifier 1568520468, active.
NPI record
| NPI | 1568520468 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 6900 Alden Dr, Ft Warren Afb, WY 82005 |
| Practice phone | 307-773-3478 |
| Mailing address | 5955 Zeamer Ave, Jber, AK 99506 |
| Enumerated | December 4, 2006 |
| Last updated | April 17, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 1-12284 (KS) |
| Pharmacist | 183500000X | 355787 (TX) |
| Pharmacist | 183500000X | 3082899-1701 (UT) |
| Pharmacist primary | 183500000X | 3132 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.