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NPI Code Detail

MEDICARE: DR. ROBERT TAYLOR KOKOSZKA PHARM. D

MEDICARE: DR. ROBERT TAYLOR KOKOSZKA PHARM. D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist41546TN

General Provider Information

NPI Number : 1740943125
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT TAYLOR KOKOSZKA PHARM. D
Provider Business Mailing Address
First Line : 4039 DAYTON BLVD
Second Line :
City : RED BANK
State : TN
Zip : 37415-7124
Country : US
Telephone Number : 423-870-0859
Fax Number :
Provider Business Practice Location Address
First Line : 4039 DAYTON BLVD
Second Line :
City : RED BANK
State : TN
Zip : 37415-7124
Country : US
Telephone Number : 423-870-0859
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2021
Last Update Date : 10/21/2021

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Directions to “ DR. ROBERT TAYLOR KOKOSZKA PHARM. D” Practice Location

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