Provider Demographics
NPI:1912243452
Name:COHEN, ERIN E (RPH, JD)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:E
Last Name:COHEN
Suffix:
Gender:F
Credentials:RPH, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 ACADEMY LN
Mailing Address - Street 2:
Mailing Address - City:PINOPOLIS
Mailing Address - State:SC
Mailing Address - Zip Code:29469-5053
Mailing Address - Country:US
Mailing Address - Phone:843-270-7669
Mailing Address - Fax:843-899-1507
Practice Address - Street 1:402 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3616
Practice Address - Country:US
Practice Address - Phone:843-761-5255
Practice Address - Fax:843-761-5255
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9796183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist