MEDICARE: COUZINS ENTERPRISES, LLC

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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1750105706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUZINS ENTERPRISES, LLC

Provider Business Mailing Address
First Line	:	2951 N 22ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-1505
Country	:	US
Telephone Number	:	267-800-7087
Fax Number	:

Provider Business Practice Location Address
First Line	:	2951 N 22ND ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19132-1505
Country	:	US
Telephone Number	:	267-800-7087
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	BENJAMIN NACHUM
Credential	:
Telephone Number	:	267-808-7087

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	11/14/2024

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Directions to “COUZINS ENTERPRISES, LLC ” Practice Location

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