MEDICARE: DR. MELISSA COHEN 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
1	183500000X	Pharmacist	RP441241	PA

General Provider Information

NPI Number	:	1942452669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA COHEN PHARMD

Provider Business Mailing Address
First Line	:	323 OLD YORK RD
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-4002
Country	:	US
Telephone Number	:	215-886-6925
Fax Number	:	215-886-6992

Provider Business Practice Location Address
First Line	:	323 OLD YORK RD
Second Line	:
City	:	JENKINTOWN
State	:	PA
Zip	:	19046-4002
Country	:	US
Telephone Number	:	215-886-6925
Fax Number	:	215-886-6992

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

Provider Enumeration Date	:	10/13/2008
Last Update Date	:	02/05/2010

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