Provider Demographics
NPI:1306184668
Name:COWART, HARRY DWIGHT (PHARMD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:DWIGHT
Last Name:COWART
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:WRIGHTSVILLE BEACH
Mailing Address - State:NC
Mailing Address - Zip Code:28480-5026
Mailing Address - Country:US
Mailing Address - Phone:910-622-4741
Mailing Address - Fax:910-343-1015
Practice Address - Street 1:106 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:WRIGHTSVILLE BEACH
Practice Address - State:NC
Practice Address - Zip Code:28480-5026
Practice Address - Country:US
Practice Address - Phone:910-622-4741
Practice Address - Fax:910-343-1015
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC073431835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support