Provider Demographics
NPI:1114370855
Name:KOHLER, BRANDON (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:BRANDON
Middle Name:
Last Name:KOHLER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 LENAPE LN
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-1814
Mailing Address - Country:US
Mailing Address - Phone:484-225-5168
Mailing Address - Fax:
Practice Address - Street 1:3616 LENAPE LN
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-1814
Practice Address - Country:US
Practice Address - Phone:484-225-5168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-18
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450659183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist