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Individual

LISA ANN COHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
INTERSTATE 40 @ EXIT 102, ACL HOSPITAL PHARMACY DEPT, SAN FIDEL, NM 87049
(505) 552-5359
Mailing address
INTERSTATE 40 @ EXIT 102, ACL HOSPITAL PHARMACY DEPT, SAN FIDEL, NM 87049
(505) 552-5359

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
4710
SD

Other

Enumeration date
03/11/2008
Last updated
03/12/2008
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