Provider Demographics
NPI:1326008590
Name:KOHRMAN, PAMELA (RPH)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:
Last Name:KOHRMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:PAM
Other - Middle Name:
Other - Last Name:KOHRMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:21 GARFIELD PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-4301
Mailing Address - Country:US
Mailing Address - Phone:513-721-0277
Mailing Address - Fax:513-721-2824
Practice Address - Street 1:21 GARFIELD PLACE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202
Practice Address - Country:US
Practice Address - Phone:513-721-0277
Practice Address - Fax:513-721-2824
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03312987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3600423OtherNCPDP NUMBER
OH0608257Medicaid
OH0237440001Medicare ID - Type UnspecifiedMEDICARE ID NUMBER