Provider Demographics
NPI:1831560416
Name:COCHRANE, ANNA TERESE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:TERESE
Last Name:COCHRANE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:ANNA
Other - Middle Name:TERESE
Other - Last Name:RECKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1201 CROSS POINTE PL
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-9168
Mailing Address - Country:US
Mailing Address - Phone:812-909-6572
Mailing Address - Fax:812-909-6573
Practice Address - Street 1:1201 CROSS POINTE PL
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-9168
Practice Address - Country:US
Practice Address - Phone:812-909-6572
Practice Address - Fax:812-909-6573
Is Sole Proprietor?:No
Enumeration Date:2015-10-08
Last Update Date:2019-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26026381A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist