Provider Demographics
NPI:1194028282
Name:KOEHLER, ANDREW JAMES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:JAMES
Last Name:KOEHLER
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 1:6707 HIGHWAY 431 S STE 101
Mailing Address - Street 2:
Mailing Address - City:OWENS CROSS ROADS
Mailing Address - State:AL
Mailing Address - Zip Code:35763-9299
Mailing Address - Country:US
Mailing Address - Phone:256-533-5883
Mailing Address - Fax:
Practice Address - Street 1:6707 HIGHWAY 431 S STE 101
Practice Address - Street 2:
Practice Address - City:OWENS CROSS ROADS
Practice Address - State:AL
Practice Address - Zip Code:35763-9299
Practice Address - Country:US
Practice Address - Phone:256-533-5883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-10
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE13374183500000X
WAPH 60239478183500000X
OR0013600183500000X
AL17944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist