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NPI Code Detail

MEDICARE: DR. KYNSIE ELAINE COCHRAN O'DONNELL PHARMD

MEDICARE: DR. KYNSIE ELAINE COCHRAN O'DONNELL 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
1183500000XPharmacist37812TN

General Provider Information

NPI Number : 1174957369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KYNSIE ELAINE COCHRAN O'DONNELL PHARMD
Provider Business Mailing Address
First Line : 812 SNOW ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-3533
Country : US
Telephone Number : 931-607-1731
Fax Number :
Provider Business Practice Location Address
First Line : 3569 BRAINERD RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37411-2708
Country : US
Telephone Number : 423-629-7323
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2013
Last Update Date : 06/17/2019

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