MEDICARE: DR. ANNIE KOSHY PHARMD

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	41058	UT

General Provider Information

NPI Number	:	1093438376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNIE KOSHY PHARMD

Provider Business Mailing Address
First Line	:	5757 NEW TERRITORY BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5949
Country	:	US
Telephone Number	:	281-565-5905
Fax Number	:

Provider Business Practice Location Address
First Line	:	5757 NEW TERRITORY BLVD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-5949
Country	:	US
Telephone Number	:	281-565-5905
Fax Number	:

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

Provider Enumeration Date	:	09/22/2022
Last Update Date	:	09/22/2022

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