Provider Demographics
NPI:1861000861
Name:KOSO,LLC
Entity Type:Organization
Organization Name:KOSO,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-868-2805
Mailing Address - Street 1:398 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19006-2369
Mailing Address - Country:US
Mailing Address - Phone:609-868-2805
Mailing Address - Fax:215-969-4147
Practice Address - Street 1:2173 MACDADE BLVD STE D
Practice Address - Street 2:
Practice Address - City:HOLMES
Practice Address - State:PA
Practice Address - Zip Code:19043-1217
Practice Address - Country:US
Practice Address - Phone:855-343-2136
Practice Address - Fax:855-343-2707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-16
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy