Andrew Coogan, PHARM,D.
Individual provider Active NPI Pharmacist · Chinle, AZ
NPI 1962836817 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1962836817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP447781 (PA)
- Practice address
- PO Box PH
Chinle, AZ 86503-8000 - Phone
- (928) 674-7001
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP447781 | PA | Yes |
Addresses
Primary practice location
PO Box PH
Chinle, AZ 86503-8000
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. 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.