MEDICARE: KIMBERLEE COTTRELL RPH

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
1	183500000X	Pharmacist	051.039775	IL
2	183500000X	Pharmacist	03319958	OH

General Provider Information

NPI Number	:	1013060094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLEE COTTRELL RPH

Provider Business Mailing Address
First Line	:	68501 ADDIE WAY
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9537
Country	:	US
Telephone Number	:	740-695-6322
Fax Number	:

Provider Business Practice Location Address
First Line	:	68501 ADDIE WAY
Second Line	:
City	:	SAINT CLAIRSVILLE
State	:	OH
Zip	:	43950-9537
Country	:	US
Telephone Number	:	740-695-6322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2007
Last Update Date	:	12/05/2024

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Directions to “ KIMBERLEE COTTRELL RPH” Practice Location

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