Provider Demographics
NPI:1790075976
Name:COHEN, PAUL T (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:T
Last Name:COHEN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3848 FALMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MARSTON MILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02648
Mailing Address - Country:US
Mailing Address - Phone:508-428-3589
Mailing Address - Fax:508-428-0752
Practice Address - Street 1:3848 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-5707
Practice Address - Country:US
Practice Address - Phone:508-428-3589
Practice Address - Fax:508-428-0752
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2011-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA14218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist