Provider Demographics
NPI:1225319908
Name:COWLEY, CORTNEY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:CORTNEY
Middle Name:
Last Name:COWLEY
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5082 E LAKE MEAD BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-3666
Mailing Address - Country:US
Mailing Address - Phone:702-531-3028
Mailing Address - Fax:702-531-3155
Practice Address - Street 1:5082 E LAKE MEAD BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-3666
Practice Address - Country:US
Practice Address - Phone:702-531-3028
Practice Address - Fax:702-531-3155
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist