Provider Demographics
NPI:1407229909
Name:KOSHY, ASISHA SARA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ASISHA
Middle Name:SARA
Last Name:KOSHY
Suffix:
Gender:F
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 1:4433 NW 89TH WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1803
Mailing Address - Country:US
Mailing Address - Phone:954-401-0330
Mailing Address - Fax:
Practice Address - Street 1:4433 NW 89TH WAY
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1803
Practice Address - Country:US
Practice Address - Phone:954-401-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54360183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist