Provider Demographics
NPI:1871840322
Name:COCCHIERI, PETER C (RPH)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:C
Last Name:COCCHIERI
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 1:10601 PERSIMMON CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-6664
Mailing Address - Country:US
Mailing Address - Phone:980-254-4203
Mailing Address - Fax:
Practice Address - Street 1:5700 ALBEMARLE RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-1633
Practice Address - Country:US
Practice Address - Phone:704-573-7855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist