Provider Demographics
NPI:1588944110
Name:KOGAN, LILIYA (PHARMD)
Entity type:Individual
Prefix:MS
First Name:LILIYA
Middle Name:
Last Name:KOGAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 GLENIFFER HILL RD
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1367
Mailing Address - Country:US
Mailing Address - Phone:267-982-1418
Mailing Address - Fax:
Practice Address - Street 1:2319 YORK RD
Practice Address - Street 2:
Practice Address - City:JAMISON
Practice Address - State:PA
Practice Address - Zip Code:18929-1037
Practice Address - Country:US
Practice Address - Phone:215-343-1488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARPI001447183500000X
PARP442283183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist