Provider Demographics
NPI:1306212402
Name:COHEN, ANNA ELIZABETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:ELIZABETH
Last Name:COHEN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ANNA
Other - Middle Name:ELIZABETH
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:845 HAMPTON BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-3074
Mailing Address - Country:US
Mailing Address - Phone:229-392-4994
Mailing Address - Fax:
Practice Address - Street 1:2500 MOUNT VERNON RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-3055
Practice Address - Country:US
Practice Address - Phone:770-394-5130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026871183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist