Provider Demographics
NPI:1710285895
Name:KOSEL, YOSHIKO WATANABE (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:YOSHIKO
Middle Name:WATANABE
Last Name:KOSEL
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 1:9806 ROYAL COLONY DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-6778
Mailing Address - Country:US
Mailing Address - Phone:704-256-3718
Mailing Address - Fax:
Practice Address - Street 1:12830 S TRYON ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-6949
Practice Address - Country:US
Practice Address - Phone:704-583-9736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-14
Last Update Date:2011-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist