Cyril George Cofie
Individual provider Active NPI Pharmacist · Lewiston, ME
NPI 1801100482 · NPPES record last updated Aug 5, 2010
Key facts
- NPI
- 1801100482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR5668 (ME)
- Practice address
- 430 Sabattus St
Lewiston, ME 04240-5430 - Phone
- (207) 783-2013
- Fax
- (207) 783-3085
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR5668 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR5668 | ME | Yes |
Addresses
Primary practice location
430 Sabattus St
Lewiston, ME 04240-5430
Mailing address
35 Tailwind CT Apt 105E
Auburn, ME 04210-8862
Phone (207) 689-3758
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.