Provider Demographics
NPI:1629380852
Name:COHEN, JAMIE BETH (RPH)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:BETH
Last Name:COHEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 GOLDEN MILE HWY
Mailing Address - Street 2:RITE AID 10955
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15239-2828
Mailing Address - Country:US
Mailing Address - Phone:724-327-4850
Mailing Address - Fax:724-733-9086
Practice Address - Street 1:1804 GOLDEN MILE HWY
Practice Address - Street 2:RITE AID 10955
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15239-2828
Practice Address - Country:US
Practice Address - Phone:724-327-4850
Practice Address - Fax:724-733-9086
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031126L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist