Individual
COCANUT MOHAMMED SUHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
200 N HURSTBOURNE PKWY STE 174, LOUISVILLE, KY 40222-5138
(844) 552-9669
(502) 690-4466
Mailing address
3164 ROUNDWAY DOWN LN, LEXINGTON, KY 40509-8527
(502) 648-7632
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
I15156
KY
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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