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Cowan Pharmacy LLC

Community/Retail Pharmacy in Conyers, GA · enumerated 2006 · authorized official Adam Mitcham, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073521845

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Registry record

Entity type Organization (Type 2)
Legal business name Cowan Pharmacy LLC
Other name <Unavail>
Practice address 1179 West Ave Sw, Conyers, GA, 30012
Fax (770) 929-3002
Enumeration date Aug 4, 2006
Last updated in NPPES Jul 19, 2018

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHRE010400 (GA) Primary

Authorized official

Name Adam Mitcham
Title President

Other identifiers

Identifier Type State Issuer
003202657A Medicaid GA -
2177325 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-07-19. Verify at npiregistry.cms.hhs.gov.
Where is Cowan Pharmacy LLC located?
The practice location on file with NPPES is in Conyers, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-19.