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NPI Code Detail

MEDICARE: AMALA KOSHY

MEDICARE:   AMALA  KOSHY
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
1183500000XPharmacist12673SC

General Provider Information

NPI Number : 1215240544
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMALA KOSHY
Provider Business Mailing Address
First Line : 20 LENOX PL
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-5660
Country : US
Telephone Number : 864-266-0362
Fax Number :
Provider Business Practice Location Address
First Line : 8951 VALLEY FALLS RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29316-5349
Country : US
Telephone Number : 864-578-3730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2010
Last Update Date : 07/15/2010

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Directions to “ AMALA KOSHY ” Practice Location

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