MEDICARE: DR. ADAM BUCHANAN COCHRANE PHARM.D., BCPS

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	1835P1200X	Pharmacotherapy Pharmacist	26019213	IN
2	1835P1200X	Pharmacotherapy Pharmacist		IL

General Provider Information

NPI Number	:	1275527848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM BUCHANAN COCHRANE PHARM.D., BCPS

Provider Business Mailing Address
First Line	:	5020 S LAKE SHORE DR
Second Line	:	#2109
City	:	CHICAGO
State	:	IL
Zip	:	60615-3253
Country	:	US
Telephone Number	:	773-702-3583
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC 5026
City	:	CHICAGO
State	:	IL
Zip	:	60637-1447
Country	:	US
Telephone Number	:	773-702-3583
Fax Number	:

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

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	07/08/2007

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