NPI 1396590527

Cocanut Mohammed Suhail, PHARMD

Practitioner Pharmacy Technician Louisville, KY

Practice location

Address: 200 N Hurstbourne Pkwy STE 174, Louisville, KY 40222-5138
Phone: (844) 552-9669
Fax: (502) 690-4466
Mailing address: 3164 Roundway Down Ln, Lexington, KY 40509-8527

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence I15156 (KY)

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Registry record

NPI: 1396590527
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2024
Record last updated: 22 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.