Provider Demographics
NPI:1811002322
Name:NEWTON, AUDREY COHENOUR (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:COHENOUR
Last Name:NEWTON
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 1:501 W COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5311
Mailing Address - Country:US
Mailing Address - Phone:256-766-3298
Mailing Address - Fax:
Practice Address - Street 1:501 W COLLEGE ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5311
Practice Address - Country:US
Practice Address - Phone:256-766-3298
Practice Address - Fax:256-766-3337
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009994075OtherMEDICAID DME
AL100003610Medicaid