Provider Demographics
NPI:1669496568
Name:COHEN, HENRY L (RPH)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:L
Last Name:COHEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2444 BOSTON POST RD
Mailing Address - Street 2:C/O CVS PHARMACY
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-3403
Mailing Address - Country:US
Mailing Address - Phone:914-833-1088
Mailing Address - Fax:914-833-1543
Practice Address - Street 1:2444 BOSTON POST RD
Practice Address - Street 2:C/O CVS PHARMACY
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-3403
Practice Address - Country:US
Practice Address - Phone:914-833-1088
Practice Address - Fax:914-833-1543
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026210183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist