Provider Demographics
NPI:1134702756
Name:COCHRAN, CHADWICK HUNTER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHADWICK
Middle Name:HUNTER
Last Name:COCHRAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 DEERFIELD RUN
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-6036
Mailing Address - Country:US
Mailing Address - Phone:270-227-8600
Mailing Address - Fax:
Practice Address - Street 1:808 N 12TH ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-1666
Practice Address - Country:US
Practice Address - Phone:270-759-1288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2021-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY021583183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist