Healthcare Provider Details

I. General information

NPI: 1134702756
Provider Name (Legal Business Name): CHADWICK HUNTER COCHRAN PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 05/02/2021
Certification Date: 05/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

808 N 12TH ST
MURRAY KY
42071-1666
US

IV. Provider business mailing address

2301 DEERFIELD RUN
MURRAY KY
42071-6036
US

V. Phone/Fax

Practice location:
  • Phone: 270-759-1288
  • Fax:
Mailing address:
  • Phone: 270-227-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number021583
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: