Provider Demographics
NPI:1972892768
Name:COSCIA, ERNEST (ERNEST COSCIA)
Entity Type:Individual
Prefix:
First Name:ERNEST
Middle Name:
Last Name:COSCIA
Suffix:
Gender:M
Credentials:ERNEST COSCIA
Other - Prefix:
Other - First Name:ERNIE
Other - Middle Name:
Other - Last Name:COSCIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ERNIE COSCIA
Mailing Address - Street 1:PO BOX 927 HWY 6 379 INDIAN SPRINGS RD.
Mailing Address - Street 2:297 TERRELL LAND
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-4090
Mailing Address - Country:US
Mailing Address - Phone:606-546-5515
Mailing Address - Fax:
Practice Address - Street 1:297 TERRELL LAN
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-4090
Practice Address - Country:US
Practice Address - Phone:606-546-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-01
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY007235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist