Provider Demographics
NPI:1477293017
Name:COCHRAN, ROSEMARIE (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROSEMARIE
Middle Name:
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 COCHRAN RD
Mailing Address - Street 2:
Mailing Address - City:RINEYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40162-9725
Mailing Address - Country:US
Mailing Address - Phone:270-877-5408
Mailing Address - Fax:
Practice Address - Street 1:160 BINTER ST
Practice Address - Street 2:
Practice Address - City:FORT KNOX
Practice Address - State:KY
Practice Address - Zip Code:40121-5160
Practice Address - Country:US
Practice Address - Phone:502-624-9222
Practice Address - Fax:502-624-9252
Is Sole Proprietor?:No
Enumeration Date:2022-03-31
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY07681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist