Provider Demographics
NPI:1902574650
Name:COHAN, CHRISTINA (RPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:COHAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:BRUNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 WEGMANS DR
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-9409
Mailing Address - Country:US
Mailing Address - Phone:610-317-1345
Mailing Address - Fax:
Practice Address - Street 1:5000 WEGMANS DR
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9409
Practice Address - Country:US
Practice Address - Phone:610-317-1345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040146L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist