Provider Demographics
NPI:1245691138
Name:COHEN, DAWN JACQUELINE (RPH)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:JACQUELINE
Last Name:COHEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 NEW FALLS RD
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19057-2408
Mailing Address - Country:US
Mailing Address - Phone:215-946-1597
Mailing Address - Fax:215-949-3792
Practice Address - Street 1:6800 NEW FALLS RD
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19057-2408
Practice Address - Country:US
Practice Address - Phone:215-946-1597
Practice Address - Fax:215-949-3792
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP1005604183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist