Provider Demographics
NPI:1821263666
Name:SOCHOKA, JAY JOSEPH (RPH)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:JOSEPH
Last Name:SOCHOKA
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:ROUTES 435 & 502
Mailing Address - Street 2:PO BOX 658
Mailing Address - City:MOSCOW
Mailing Address - State:PA
Mailing Address - Zip Code:18444
Mailing Address - Country:US
Mailing Address - Phone:570-842-6766
Mailing Address - Fax:570-842-3312
Practice Address - Street 1:ROUTES 435 & 502
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:PA
Practice Address - Zip Code:18444
Practice Address - Country:US
Practice Address - Phone:570-842-6766
Practice Address - Fax:570-842-3312
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042400R183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist