Individual
ERNEST NICHOLAS COCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
800 W MOYAMENSING AVE, PHILADELPHIA, PA 19148-3709
(215) 334-1833
(215) 334-5046
Mailing address
2913 S 13TH ST, PHILADELPHIA, PA 19148-4947
(267) 273-0620
(215) 334-5046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP-032264L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008659020003
—
PA
Enumeration date
05/26/2010
Last updated
05/26/2010
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