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MS. MARCIA GOBY COHEN R.PH
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1023002078
Individual Registrant:MS. MARCIA GOBY COHEN R.PH
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
806 N LAKEVIEW DR ORANGE, CT 06477-1421 US
Tel: 203-389-5200 Fax: --
Tel: 203-389-5200 Fax: --
Contact information for business:
806 N LAKEVIEW DR ORANGE, CT 06477-1421 US
Tel: 203-389-5200 Fax: --
Tel: 203-389-5200 Fax: --
Registration Information:
NPI: 1023002078
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | CT | 4825 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
