Provider Demographics
NPI:1912531443
Name:COGLEY, KASIE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KASIE
Middle Name:
Last Name:COGLEY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764-1442
Mailing Address - Country:US
Mailing Address - Phone:740-753-1984
Mailing Address - Fax:740-753-3188
Practice Address - Street 1:965 POPLAR ST
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1442
Practice Address - Country:US
Practice Address - Phone:740-753-1984
Practice Address - Fax:740-753-3188
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0313540311835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist