Individual
ALLISON COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 ROBINSON STREET, BINGHAMTON, NY 13904
(607) 722-4976
Mailing address
859 E MAINE RD, JOHNSON CITY, NY 13790-4626
(607) 761-2884
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
067088
NY
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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