Doctor Name: | TATIANA E KOSYAK |
NPI Number: | 1073990768 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPH, CPH |
License Number: | 11667 |
Business Practice Address: | 63 Saddlers Run Ormond Beach, FL - 321742456 |
Business Phone Number: | 3864813886 |
Business Fax Number: | |
Mailing Address: | 63 Saddlers Run, ORMOND BEACH |
State: | FL |
Postal Code: | 321742456 |
Phone Number: | 3864813886 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2015 |
NPI Last Update Date: | 05/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835P0018X |
License Number: | 11667 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |