MEDICARE: MS. MELANIE COHEN 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
1	183500000X	Pharmacist	PH51528	WA

General Provider Information

NPI Number	:	1053393991
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE COHEN PHARM D

Provider Business Mailing Address
First Line	:	1600 S COLUMBIAN WAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1565
Country	:	US
Telephone Number	:	206-277-6919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1660 S COLUMBIAN WAY
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98108-1532
Country	:	US
Telephone Number	:	206-277-5545
Fax Number	:

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	06/17/2013

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