Healthcare Provider Details

I. General information

NPI: 1932277662
Provider Name (Legal Business Name): ERIC J COHEN PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 MORSE AVE KAISER ONCOLOGY PHARMACY STE 3A
SACRAMENTO CA
95825-2115
US

IV. Provider business mailing address

2025 MORSE AVE KAISER ONCOLOGY PHARMACY STE 3A
SACRAMENTO CA
95825-2115
US

V. Phone/Fax

Practice location:
  • Phone: 916-736-2764
  • Fax:
Mailing address:
  • Phone: 916-736-2764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number43425
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: