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NPI Code Detail

MEDICARE: DR. HUYLA G COKER PHARMD

MEDICARE: DR. HUYLA G COKER 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
11835P1200XPharmacotherapy Pharmacist12590NC

General Provider Information

NPI Number : 1346343613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUYLA G COKER PHARMD
Provider Business Mailing Address
First Line : 105 RUN SWAMP RD
Second Line :
City : CAMDEN
State : NC
Zip : 27921-7626
Country : US
Telephone Number : 252-335-0531
Fax Number : 252-384-4179
Provider Business Practice Location Address
First Line : 1144 N ROAD ST
Second Line : POST OFFICE BOX 1587
City : ELIZABETH CITY
State : NC
Zip : 27909-3473
Country : US
Telephone Number : 252-335-0531
Fax Number : 252-384-4179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2006
Last Update Date : 08/23/2010

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