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NPI Code Detail

MEDICARE: MR. TED ELLIOT COHEN RPH

MEDICARE:  MR. TED ELLIOT COHEN  RPH
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
1183500000XPharmacist029124NY
2183500000XPharmacistPS49621FL

General Provider Information

NPI Number : 1295913275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TED ELLIOT COHEN RPH
Provider Business Mailing Address
First Line : 645 CHAMBERS ST. EAST
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33974
Country : US
Telephone Number : 239-770-6798
Fax Number :
Provider Business Practice Location Address
First Line : 645 CHAMBERS ST. EAST
Second Line :
City : LEHIGH ACRES
State : FL
Zip : 33974
Country : US
Telephone Number : 239-770-6798
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2008
Last Update Date : 09/02/2021

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Directions to “ MR. TED ELLIOT COHEN RPH” Practice Location

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