Organization
COKA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAYA AVIVA COHEN RPH (PIC OWNER)
(718) 566-6292
Entity
Organization
Contact information
Practice address
161 WATKINS STREET, BROOKLYN, NY 11212
(718) 566-6292
Mailing address
161 WATKINS STREET, BROOKLYN, NY 11212
(718) 566-6292
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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