# KOHEN PHARMACY & MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kohen Pharmacy & Medical Supply LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912139270
- **Authorized official:** KWEKU OHENE PHARMD (OWNER/PHCY MGR)
- **Authorized official phone:** (856) 885-6813

## Contact information

- **Practice address:** 3101 BLACK HORSE PIKE, UNIT 9, SICKLERVILLE, NJ 08081-5116
- **Practice address phone:** (856) 302-5825
- **Practice address fax:** (856) 302-5835
- **Mailing address:** 3101 BLACK HORSE PIKE, UNIT 9, SICKLERVILLE, NJ 08081-5116
- **Mailing address phone:** (856) 302-5825
- **Mailing address fax:** (856) 302-5835

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 28RS00696300 | NJ | Yes |

## Other

- **Enumeration date:** 08/19/2009
- **Last updated:** 04/07/2010