Organization
KOHEN PHARMACY & MEDICAL SUPPLY LLC
Active
Other names
Kohen Pharmacy & Medical Supply LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KWEKU OHENE PHARMD (OWNER/PHCY MGR)
(856) 885-6813
Entity
Organization
Contact information
Practice address
3101 BLACK HORSE PIKE, UNIT 9, SICKLERVILLE, NJ 08081-5116
(856) 302-5825
(856) 302-5835
Mailing address
3101 BLACK HORSE PIKE, UNIT 9, SICKLERVILLE, NJ 08081-5116
(856) 302-5825
(856) 302-5835
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RS00696300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3196448
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/19/2009
Last updated
04/07/2010
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